Endovascular treatment of soft carotid plaques: a single-center carotid stent experience

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Alberto CremonesiFausto Castriota

Abstract

To report a prospective evaluation of the 30-day clinical neurological outcome in patients percutaneously treated for severe symptomatic and asymptomatic soft echolucent carotid plaques under cerebral protection from a proximal flow blockade system. From December 2001 to February 2005, 84 consecutive patients (63 men; mean age 70.7 +/- 7.1 years, range 58-81) with documented soft echolucent (gray scale median < 25) extracranial carotid lesions were enrolled in a study of percutaneous stenting under cerebral protection achieved by a proximal endovascular clamping device. Primary endpoint of the study was the all stroke and death rate at 30 days. Secondary endpoints were angiographic success and any complication between discharge and 30 days. All adverse events were analyzed by an independent neurological team. Total neurological events at 30-day follow-up included 3 transient ischemic attacks and 1 minor stroke (4.8% neurological event rate). The 30-day rates of stroke and neurological death/stroke were both 1.2%; the all death/stroke rate was 2.4%. Clamping intolerance was observed in 5.9% of cases, but there was no interruption in the procedure or clinical sequelae. In 66.7% of patients, visible debris was collected during the...Continue Reading

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Citations

Oct 18, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Giorgio M BiasiMarialuisa Lavitrano
Feb 10, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alberto CremonesiFausto Castriota
May 29, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A BodeH Sievert
May 31, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Dimitrios NikasBernhard Reimers
Mar 12, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gary M AnselUNKNOWN Investigators for the ARMOUR Pivotal Trial
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Nov 18, 2008·Journal of Vascular and Interventional Radiology : JVIR·Yasuhiro KawabataHaruhiko Kikuchi
Apr 23, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Alberto CremonesiGiancarlo Biamino
Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nitin GargIraklis I Pipinos
Sep 23, 2008·Expert Review of Medical Devices·Michel HenryMichéle Hugel
Jun 2, 2018·Therapeutic Advances in Chronic Disease·Joaquin de HaroFrancisco Acin

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