Role of stent selection in the incidence of persisting hemodynamic depression after carotid artery stenting

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Csaba Csobay-NovákKálmán Hüttl

Abstract

To investigate the possible role of stent selection and procedure-related vessel diameter changes in the development of persisting hemodynamic depression (PHD) and to demonstrate the effectiveness and safety of permanent pacemaker implantation in patients with refractory PHD. Data from 584 procedures performed in 542 patients (398 men; mean age 67.3 years) between 2008 and 2011 using Wallstent, Precise, and Xact stents in a nonrandomized fashion were analyzed retrospectively. Cardiovascular risk factors and lesion, stent, and balloon characteristics were collected, and the pre- and postprocedure diameters of the common carotid artery (CCA) and internal carotid artery were measured. PHD was defined as any episode of hypotension (systolic blood pressure <90 mm Hg) and/or bradycardia (heart rate <60/min) lasting >6 hours. Risk factors for PHD were sought using logistic regression analyses; the results are presented as the odds ratio (OR) and 95% confidence interval (CI). The incidence of PHD was 37.0% (216/584). Refractory PHD was encountered in 9 patients; among these, 6 were successfully treated with pacemaker implantation. A history of prior ipsilateral carotid endarterectomy (OR 0.44, 95% CI 0.22 to 0.87, p=0.019) and the pres...Continue Reading

References

Oct 8, 1999·Stroke; a Journal of Cerebral Circulation·A I QureshiL N Hopkins
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Franz LeischHans Bergmann
Dec 9, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Wolfgang MlekuschErich Minar
Aug 16, 2005·Stroke; a Journal of Cerebral Circulation·Nathalie NasrVincent Larrue
Apr 25, 2006·Journal of the American College of Cardiology·Rishi GuptaJay S Yadav
Sep 5, 2006·Journal of Vascular Surgery·Leïla YakhouPhilippe Duvaldestin
Nov 6, 2007·Journal of Vascular Surgery·Peter H LinTam T Huynh
Jan 8, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E CieriP Cao
Jan 15, 2008·Journal of Vascular and Interventional Radiology : JVIR·Nicolas DiehmJames F Benenati
May 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefan Müller-HülsbeckThomas Jahnke
Mar 30, 2010·Journal of Vascular and Interventional Radiology : JVIR·Hristo N NikolovDavid W Holdsworth
Jul 16, 2010·Autonomic Neuroscience : Basic & Clinical·Chih-Cheng HuangCheng-Hsien Lu
Apr 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·Michiel T VoûteHence J M Verhagen
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kumar SatyaZvonimir Krajcer
Mar 31, 2012·Journal of Vascular Surgery·Serdar DemirelDittmar Böckler
Feb 9, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Spyridon N MylonasChristos D Liapis

❮ Previous
Next ❯

Citations

Feb 6, 2017·Neurologia Medico-chirurgica·Masataka NantoMichiko Takado
Aug 20, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jumpei OshitaKaoru Kurisu
Dec 24, 2018·Journal of Vascular Surgery·Zhichao LaiChenyang Qiu
Jun 5, 2019·Journal of Vascular Surgery·Evelien E de VriesUNKNOWN ENDORSE Study Group

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Related Papers

Rinsho byori. The Japanese journal of clinical pathology
Michiaki MiyamotoNobuyuki Taniguchi
Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Franz LeischHans Bergmann
The American Journal of Cardiology
F O MendelsohnR S Stack
© 2021 Meta ULC. All rights reserved