Elective carotid artery stenting in the presence of contralateral occlusion

The American Journal of Cardiology
A MathurJ J Vitek

Abstract

Significant carotid stenosis in the presence of an occluded contralateral artery has a poor prognosis with medical therapy alone. Carotid cross clamping during surgical endarterectomy results in critical flow reductions in patients with inadequate collateral flow, and represents a significant risk for procedural strokes. Carotid stenting is being evaluated as an alternative to endarterectomy. We describe the immediate and late outcome of a series of 26 patients treated with carotid stenting in the presence of contralateral carotid occlusion. The mean age of the patients in this group was 65 +/- 9 years, 23 (89%) were men and 10 (39%) were symptomatic from the vessel treated. The procedural success of carotid stenting in this group of patients was 96%. The mean diameter stenosis was reduced from 76 +/- 15% to 2.8 +/- 5%. There was 1 (3.8%) minor stroke in a patient who developed air embolism during baseline angiography. At late follow-up there was no neurologic event in any patient at a mean of 16 +/- 9.5 months after the procedure. Thus, carotid stenting of lesions with contralateral occlusion can be performed successfully with a low incidence of procedural neurologic complications and late stroke.

References

Nov 1, 1977·Stroke; a Journal of Cerebral Circulation·C A AndersenS C Boone
Jun 21, 1976·JAMA : the Journal of the American Medical Association·W S Fields, N A Lemak
Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Jul 1, 1989·Stroke; a Journal of Cerebral Circulation·T BrottV Hertzberg
Mar 1, 1986·AJNR. American Journal of Neuroradiology·F Y TsaiH F Pribram
Nov 1, 1986·The Journal of Cardiovascular Nursing·A S LanoueK M Galan
Sep 1, 1987·Stroke; a Journal of Cerebral Circulation·I SaitoK Tsutsumi
Apr 1, 1993·Mayo Clinic Proceedings·F B MeyerD G Piepgras
Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·E B DiethrichD B Reid
Jan 21, 1997·Circulation·J Grotta

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Citations

Oct 16, 1999·Comprehensive Therapy·G NewJ J Vitek
Dec 21, 2000·Current Atherosclerosis Reports·C R Gomez
Aug 20, 2003·Journal of Neurosurgery·Marc R Mayberg
Jun 22, 2012·Annals of Vascular Surgery·Benjamin KretzEric Steinmetz
Oct 4, 2011·Annals of Vascular Surgery·Mark L KeldahlMark K Eskandari
Aug 25, 2009·The American Journal of Cardiology·Rajendra H MehtaUNKNOWN German Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte Carotid Artery Stent (ALKK-CAS) Registry
Dec 18, 2007·Annals of Vascular Surgery·Winfried MaatzGerhard Walterbusch
Dec 18, 2004·The American Heart Hospital Journal·Mark R HarriganL Nelson Hopkins
May 4, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G FaggioliA Stella
Jul 20, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R PulliC Pratesi
Aug 25, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roberto GandiniGiovanni Simonetti
Jul 8, 1999·Journal of Vascular Surgery·B B HillC K Zarins
Sep 25, 2001·Current Problems in Cardiology·S AllaqabandT K Bajwa
Aug 22, 2002·Neurosurgery·Andrew J RingerL Nelson Hopkins
Feb 28, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·G DangasM B Leon
Sep 3, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·M H Wholey
Jan 19, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·R AhmadiE Minar
Jan 17, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·A W Floris VosWillem Wisselink
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Palma M ShawNishan Dadian
Nov 15, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ramazanali AhmadiErich Minar
Dec 12, 2001·Stroke; a Journal of Cerebral Circulation·A F AbuRahmaP A Robinson
Dec 6, 2005·Cerebrovascular Diseases·Alejandro GonzálezAlberto Gil-Peralta
Mar 9, 2006·Acta neurochirurgica·G PappadàE P Sganzerla
May 15, 2003·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·H FukudaI Nagata
Aug 23, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Olufemi OshinBibombe P Mwipatayi
Dec 5, 2020·International Angiology : a Journal of the International Union of Angiology·Renato CasanaGianfranco Parati

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