Stent-grafts in the treatment of emergent or urgent carotid artery disease: review of 25 cases

Journal of Vascular and Interventional Radiology : JVIR
Hanno HoppeBryan D Petersen

Abstract

To report the authors' initial experience with carotid artery stent-grafts in a comparatively large patient series for the treatment of acute bleeding and impending rupture or the prevention of distal embolization. This retrospective study was approved by the institutional review boards and performed according to HIPPA standards. Twenty-five patients were treated with 27 carotid artery stent-grafts (Gore Viabahn, n = 10; Bard Fluency, n = 9; polytetrafluoroethylene-covered Palmaz, n = 5; and Wallgraft, n = 3). Thirteen stent-grafts were placed in patients with carotid blow-out syndrome (including three patients with carotid-airway fistula), 12 in patients with either pseudoaneurysm (n = 9) or true aneurysm (n = 3), and two in patients with intractable high-grade bare stent restenosis. The technical success rate was 100% (27 of 27 cases). No acute procedural transient ischemic attacks or strokes occurred. Procedural dissections occurred in two of the 27 cases (7.4%). Short-term complications occurred in three of the 27 cases (11%) (repeat hemorrhage, n = 2; common carotid artery occlusion, n = 1). The overall patient mortality rate was 36% (nine of 25 patients, all with carotid blow-out syndrome). Six-month follow-up in 15 of th...Continue Reading

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Citations

Sep 6, 2011·The Journal of Laryngology and Otology·J RimmerC Hopper
Oct 14, 2009·Head & Neck Oncology·Cyrus J Kerawala, Manolis Heliotos
Nov 4, 2015·The British Journal of Radiology·Chia-Jen WuI-Chan Chiang
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Jul 6, 2010·Annals of Vascular Surgery·Elpiniki TsolakiFrancesco Mascoli
Jun 1, 2010·Photodiagnosis and Photodynamic Therapy·Zaid HamdoonColin Hopper
Nov 27, 2009·Journal of Vascular and Interventional Radiology : JVIR·Bernd SaugelWolfgang Huber
Feb 6, 2015·Journal of Neurointerventional Surgery·Jun Kyeung KoTae Hong Lee
Oct 1, 2011·Journal of Vascular Surgery·Mehul RavalHeron Rodriguez
Oct 7, 2015·PloS One·Feng-Chi ChangWan-Yuo Guo
Apr 2, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Julio PegueroAvi Markowtiz
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Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Aaron Y ChenPeter H Lin

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