Complications following carotid angioplasty and carotid stenting in patients with symptomatic carotid artery disease

被引:22
作者
McKevitt, FM
Macdonald, S
Venables, GS
Cleveland, TJ
Gaines, PA
机构
[1] Royal Hallamshire Hosp, Dept Neurol, Sheffield S10 2JF, S Yorkshire, England
[2] Sheffield Teaching Hosp NHS Trust, No Gen Hosp, Sheffield Vasc Inst, Sheffield, S Yorkshire, England
关键词
carotid stenosis; balloon angioplasty; stent; treatment outcomes;
D O I
10.1159/000073895
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: We review a single centre's experience of the endovascular treatment of carotid artery disease, present the 30-day and 1-year complication rates and assess whether changes in technique are associated with a change in clinical outcome. Methods: Patients who underwent carotid angioplasty with or without stenting for symptomatic 670% carotid artery stenosis secondary to atherosclerosis were included. 333 procedures were performed, i.e. angioplasty alone ( 86), stent without cerebral protection ( 150) and stent with cerebral protection ( 97). Results: At 30 days, the total major disabling stroke and all death rate was 3.0%. For angioplasty alone, this was 2.3%, for stent without cerebral protection 4.0% and for stent with cerebral protection 2.1%. If non-stroke-related deaths were excluded, it was 2.3, 3.3 and 0%, respectively. After 30 days, the 1-year ipsilateral stroke rate was 0.8%. Conclusions: Carotid artery stenting, in particular with a cerebral protection device, is a safe alternative to carotid endarterectomy for the treatment of symptomatic high-grade carotid artery disease. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:28 / 34
页数:7
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