Carotid artery stenting in surgical high-risk patients

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Majdi HalabiRafael Beyar

Abstract

Recent studies have shown that carotid artery angioplasty and stenting may offer a viable alternative for symptomatic and asymptomatic patients with carotid artery stenosis, especially in high-risk patients. We report the results of a prospective single-center registry designed to evaluate the feasibility and safety of carotid artery angioplasty and stenting with and without distal protection devices in high-risk patients. A total of 116 consecutive patients underwent 126 procedures and 127 stents were deployed successfully in 130 lesions. The majority of patients (63%) had restenosis after a prior carotid endarterectomy; 31% were considered to be ineligible for carotid endarterectomy by both the vascular surgeons and the interventional cardiologist and 9% were considered ineligible for surgery due to hostile neck anatomy. Periprocedural and follow-up evaluation included a thorough independent clinical and neurological assessment. Distal embolic protection devices were used in 44% of all cases. Procedural success was achieved in 122 procedures (97%). The overall rate of in-hospital major adverse cerebrovascular events (death, stroke, and myocardial infarction) was 2.6%. Event rates in patients with prior carotid endarterectomy ...Continue Reading

References

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Citations

Dec 3, 2014·Cardiology Clinics·Yinn Cher Ooi, Nestor R Gonzalez
Jul 14, 2010·Journal of the American College of Cardiology·Theodore L SchreiberUNKNOWN CASES-PMS Investigators
Apr 11, 2018·Journal of Korean Neurosurgical Society·Young Dae ChoJin Pyeong Jeon
Feb 2, 2011·Stroke; a Journal of Cerebral Circulation·Thomas G BrottUNKNOWN American Academy of Neurology and Society of Cardiovascular Computed Tomography
Feb 2, 2011·Stroke; a Journal of Cerebral Circulation·Thomas G BrottUNKNOWN American Academy of Neurology and Society of Cardiovascular Computed Tomography
Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nitin GargIraklis I Pipinos

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