Carotid Angioplasty stenting revisited: Clinical and radiological (MRI) outcome

被引：6

作者：

Ghorab, Karima ^{[1
]}

Macian, Francisco ^{[1
]}

Adoukounou, Thierry ^{[1
]}

Magy, Laurent ^{[1
]}

Chapot, Rene ^{[2
]}

Vallat, Jean-Michel ^{[1
]}

机构：

[1] Univ Hosp Limoges, Dept Neurol, FR-87042 Limoges, France

[2] Univ Hosp Limoges, Dept Neuroradiol, FR-87042 Limoges, France

来源：

CEREBROVASCULAR DISEASES | 2008年 / 25卷 / 1-2期

关键词：

carotid angioplasty stenting; carotid stenosis; MRI; stroke outcome;

D O I：

10.1159/000111495

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Although carotid angioplasty and stenting (CAS) is widely used to treat carotid stenosis, recent studies point to the inferiority of the procedure compared with carotid endarterectomy. Methods: We present 50 consecutive cases of CAS treated in our unit. Endarterectomy was contraindicated in these patients due to high operative risk. All the patients underwent a diffusion-weighted MRI (DWI) before and after the procedure and had a neurological assessment in a stroke unit. Results: No deaths were recorded until 30 days after the procedure. Six patients [12%, confidence interval at 95% (CI95) = 3.7-20.2] had a positive DWI MRI after the procedure but only 2 (4%, CI95 = 0-9.43) had a worse neurological status. Conclusion: This study shows that CAS is feasible with a low morbid-mortality rate in patients with a high surgical risk. DWI is highly sensitive to detect neurological complications after the procedure. Copyright (c) 2007 S. Karger AG, Basel.

引用

页码：21 / 25

页数：5

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