Percutaneous transluminal angioplasty of the symptomatic atherosclerotic carotid arteries. Results, complications, and follow-up

Stroke; a Journal of Cerebral Circulation
A Gil-PeraltaF Duran

Abstract

Carotid endarterectomy reduces stroke risk in patients with > 70% symptomatic stenosis. We present our results of percutaneous transluminal angioplasty (PTA) as an alternative treatment. Ninety-eight patients with symptomatic > 70% stenosis of the internal carotid artery were considered for PTA. Details of the procedure, complications, and 4-year follow-up were registered. Eighty-five PTAs were performed in a 4-year period. Transient cardiovascular effects were frequent: hypotension (54.1%), bradycardia (67.1%), asystole (25.9%), and syncope (16.5%). Transient ischemic attack occurred in 3 of 82 patients (3.7%), and disabling stroke occurred in 4 (4.9%); mortality was 0%. After a mean follow-up period of 18.7 months, 4 patients died, 1 due to fatal stroke. The overall probability of surviving any stroke or death was 86.7%. Restenosis (> 70%) was seen in 6 cases (7.4%). PTA may be a reasonable treatment for symptomatic atherosclerotic stenosis, at least in patients at high risk for carotid endarterectomy.

References

Jan 1, 1992·Neurological Research·L M MunariM Porta
Jan 1, 1992·Neurological Research·M M Brown
Mar 1, 1990·Journal of Neurology, Neurosurgery, and Psychiatry·M M BrownJ Waterston
May 1, 1994·Journal of Neurosurgery·F B MeyerN C Fode

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Citations

Sep 30, 2004·Der Radiologe·T StruffertW Reith
Mar 20, 2002·Current Neurology and Neuroscience Reports·J C ChaloupkaW S Lesley
Mar 7, 2003·American Journal of Surgery·Dennis R GableBrad R Grimsley
Nov 17, 1998·Surgical Neurology·G P TeitelbaumS L Giannotta
Jun 11, 2002·Journal of Interventional Cardiology·H Sievert
Jan 18, 2006·Annual Review of Medicine·Philip M MeyersLouis R Caplan
Apr 14, 2000·Neurosurgery·F C AlbuquerqueS L Giannotta
Sep 8, 2005·Neurosurgery·Tadashi NonakaToshio Imaizumi
Oct 21, 2006·Neurosurgery·Ricardo A HanelL Nelson Hopkins
Jun 4, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·H Zwenneke FlachAad Van Der Lugt
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michel HenryBernard Folliguet
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Palma M ShawNishan Dadian
Aug 7, 2012·Journal of Neurosurgery·Joonho ChungHyeonseon Park
Nov 23, 2006·Neurosurgical Focus·F C AlbuquerqueS L Giannotta
Feb 16, 2008·Neurosurgical Focus·Clemens M SchirmerAdel M Malek
Jan 18, 2012·Annual Review of Medicine·David Doig, Martin M Brown
Nov 3, 2007·AJNR. American Journal of Neuroradiology·E Martinez-FernandezA Mayol Deya
Nov 11, 2003·Canadian Journal of Physiology and Pharmacology·Laurence ManginJean-Pierre Becquemin
Feb 14, 2003·Current Cardiology Reports·Ricardo A HanelAdnan I Qureshi
Sep 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·John D BarrUNKNOWN Society of Interventional Radiology
May 6, 2004·Journal of Vascular and Interventional Radiology : JVIR·Randall T HigashidaUNKNOWN Technology Assessment Committees of the American Society of Interventional and Therapeutic Neuroradiology and the Society of
Jul 9, 2009·Journal of Vascular and Interventional Radiology : JVIR·Randall T HigashidaUNKNOWN Society of Interventional Radiology
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Franz LeischHans Bergmann
Jan 4, 2012·Headache·Eric P BaronMark J Stillman
Jul 22, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jesús CirbianMiriam de Nadal
Dec 19, 2002·Neurosurgery Clinics of North America·Samir LapsiwalaBehnam Badie
Dec 11, 2002·Cardiology Clinics·Debabrata Mukherjee, Jay S Yadav
Feb 8, 2005·Neurosurgery Clinics of North America·Ricardo A HanelL Nelson Hopkins
Apr 15, 2005·Neurological Research·Kentaro HayashiMinoru Morikawa
Jan 29, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Eberhard GrubeGregg W Stone
May 12, 2005·Journal of Vascular Surgery·Cyrus MotamedJean Pierre Becquemin
May 12, 1998·Journal of Vascular Surgery·T A Calvey, M J Gough
Jun 27, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Jörn O Balzer
Sep 5, 2006·Journal of Vascular Surgery·Leïla YakhouPhilippe Duvaldestin
Aug 9, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T LuebkeJ Brunkwall
Sep 5, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P A Gaines
Apr 29, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Anna Kablak-ZiembickaWieslawa Tracz
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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