Outcomes of carotid artery stenting in high-risk patients with carotid artery stenosis: a single neurovascular center retrospective review of 101 consecutive patients

Neurosurgery
Scott A MeyerAman B Patel

Abstract

Carotid artery angioplasty and carotid artery stenting (CAS) offer a viable alternative to carotid endarterectomy for symptomatic and asymptomatic patients; however, the complication rates associated with CAS may be higher than previously documented. We evaluated the safety and efficacy of CAS in high surgical risk patients in a single neurovascular center retrospective review. An institutional review board-approved retrospective review of the clinical variables and treatment outcomes of 101 consecutive patients (109 stents) from July 2001 to March 2007 with carotid stenosis were analyzed. Both symptomatic and asymptomatic stenoses were studied in high surgical risk patients as defined by the SAPPHIRE (Stenting and Angioplasty with Protection in Patients at High-Risk for Endarterectomy) trial. Specifically, those patients with clinically significant cardiac disease (congestive heart failure, abnormal stress test, or need for open-heart surgery), severe pulmonary disease, contralateral carotid occlusion, contralateral laryngeal nerve palsy, recurrent stenosis after carotid endarterectomy, previous radical neck surgery, or radiation therapy to the neck, and an age older than 80. Seventy-four percent of the patients were symptomat...Continue Reading

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Citations

May 5, 2012·PloS One·Nazmi KrasniqiRoberto Corti
Nov 15, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ameer E HassanAdnan I Qureshi
Jul 24, 2012·Journal of Vascular Surgery·Veeru KasivisvanathanAlun H Davies
Feb 8, 2014·Journal of Neurointerventional Surgery·Michael M WachAdnan H Siddiqui
Jun 1, 2017·Langenbeck's Archives of Surgery·Carola Marie WiekerD Böckler

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