Technical aspects and current results of carotid stenting

Journal of Vascular Surgery
A d'AudiffretJ P Becquemin

Abstract

We reviewed our experience with carotid stenting (CS), focusing on technical evolution and results. From September 1995 to February 2000, 77 patients with 83 internal (n = 68) and common carotid artery lesions (n = 15) were selected for CS. This patient population was categorized into three consecutive periods based on patient selection, material, and technical skills. For internal carotid artery lesions, period I included 11 patients treated by means of direct carotid puncture with balloon expandable stents; period II included 42 patients treated by means of a femoral approach with self-expandable stents; and period III included 15 patients in whom monorail system and cerebral protection devices were used. Common carotid artery lesions were treated by means of carotid puncture in five patients and by means of a femoral approach in 10 patients. In only two of the latter cases, cerebral protection devices were used. The overall immediate success rate, defined as successfully treated stenosis with no neurological events, was 89.7% for internal carotid artery lesions and 100% for common carotid artery lesions. All neurological events, which consisted of reversible events (4.4%), minor stroke (1.5%), and major stroke (2.9%), occurr...Continue Reading

References

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Citations

Oct 31, 2006·American Journal of Surgery·Luke BrewsterHoward P Greisler
Dec 27, 2005·Journal of Vascular Surgery·Kirsteen R Burton, Thomas F Lindsay
Oct 9, 2004·Journal of Vascular Surgery·H Michael ChoiZafar Jamil
Mar 7, 2003·American Journal of Surgery·Dennis R GableBrad R Grimsley
Dec 16, 2004·Vascular and Endovascular Surgery·Ahmed M Abou-ZamzamJohn M Porter
Nov 15, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ramazanali AhmadiErich Minar
Oct 10, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jean-Pierre BecqueminHicham Kobeiter

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