Carotid artery stenting: early and long-term results
We studied 147 patients who underwent 171 interventions oftransluminal balloon angioplasty with carotid artery stenting(CAS). Mean degree of stenosis measured by angiography beforethe intervention was 7410%. Technical success (residual stenosis30%) was achieved in 97% cases. Acute stroke during thei...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Research Center of Neurology
2017-02-01
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| Series: | Анналы клинической и экспериментальной неврологии |
| Subjects: | |
| Online Access: | https://annaly-nevrologii.com/journal/pathID/article/viewFile/295/188 |
| _version_ | 1818240661417099264 |
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| author | A. O. Chechetkin G. I. Kunzevich S. I. Skrylev A. Yu. Koshcheev S. V. Prozky O. V. Lagoda A. V. Krasnikov Z. A. Suslina |
| author_facet | A. O. Chechetkin G. I. Kunzevich S. I. Skrylev A. Yu. Koshcheev S. V. Prozky O. V. Lagoda A. V. Krasnikov Z. A. Suslina |
| author_sort | A. O. Chechetkin |
| collection | DOAJ |
| description | We studied 147 patients who underwent 171 interventions oftransluminal balloon angioplasty with carotid artery stenting(CAS). Mean degree of stenosis measured by angiography beforethe intervention was 7410%. Technical success (residual stenosis30%) was achieved in 97% cases. Acute stroke during theintervention and in the early postoperative period was registeredin 17 (11.6%) subjects: 11 (7.5%) patients had TIAs, 3 (2.05%)had minor stroke and 3 (2.05%) had major stroke. Noevents of myocardial infarction or death were observed. Onehundred thirty-three patients (90%) were followed-up in thelong-term perspective (21 [13; 38] months). Ipsilateral strokewas diagnosed in one patient (0.8%). No events of restenosis(50%) were observed in 155 cases of CAS. Asymptomatic stentocclusion was recorded 11 months after intervention in onepatient (0.6%) who had subtotal stenosis of ipsilateral intracranialinternal carotid artery. Thus, acute neurological deteriorationdevelops mainly in the perioperative period, but the rate ofstroke is low (4.1%). CAS is an effective method to preventstroke in the long-term perspective in patients with extracranialcarotid stenosis. |
| first_indexed | 2024-12-12T13:16:59Z |
| format | Article |
| id | doaj.art-7b5c6f72c0384dfa9bccc2a6385e949d |
| institution | Directory Open Access Journal |
| issn | 2075-5473 2409-2533 |
| language | English |
| last_indexed | 2024-12-12T13:16:59Z |
| publishDate | 2017-02-01 |
| publisher | Research Center of Neurology |
| record_format | Article |
| series | Анналы клинической и экспериментальной неврологии |
| spelling | doaj.art-7b5c6f72c0384dfa9bccc2a6385e949d2022-12-22T00:23:24ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332017-02-015441010.17816/psaic295189Carotid artery stenting: early and long-term resultsA. O. Chechetkin0G. I. Kunzevich1S. I. Skrylev2A. Yu. Koshcheev3S. V. Prozky4O. V. Lagoda5A. V. Krasnikov6Z. A. Suslina7Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)Research Center of Neurology, Russian Academy of Medical Sciences (Moscow)We studied 147 patients who underwent 171 interventions oftransluminal balloon angioplasty with carotid artery stenting(CAS). Mean degree of stenosis measured by angiography beforethe intervention was 7410%. Technical success (residual stenosis30%) was achieved in 97% cases. Acute stroke during theintervention and in the early postoperative period was registeredin 17 (11.6%) subjects: 11 (7.5%) patients had TIAs, 3 (2.05%)had minor stroke and 3 (2.05%) had major stroke. Noevents of myocardial infarction or death were observed. Onehundred thirty-three patients (90%) were followed-up in thelong-term perspective (21 [13; 38] months). Ipsilateral strokewas diagnosed in one patient (0.8%). No events of restenosis(50%) were observed in 155 cases of CAS. Asymptomatic stentocclusion was recorded 11 months after intervention in onepatient (0.6%) who had subtotal stenosis of ipsilateral intracranialinternal carotid artery. Thus, acute neurological deteriorationdevelops mainly in the perioperative period, but the rate ofstroke is low (4.1%). CAS is an effective method to preventstroke in the long-term perspective in patients with extracranialcarotid stenosis.https://annaly-nevrologii.com/journal/pathID/article/viewFile/295/188endovascular treatmentcarotid artery stentingcarotid artery stenosisstroke prevention |
| spellingShingle | A. O. Chechetkin G. I. Kunzevich S. I. Skrylev A. Yu. Koshcheev S. V. Prozky O. V. Lagoda A. V. Krasnikov Z. A. Suslina Carotid artery stenting: early and long-term results Анналы клинической и экспериментальной неврологии endovascular treatment carotid artery stenting carotid artery stenosis stroke prevention |
| title | Carotid artery stenting: early and long-term results |
| title_full | Carotid artery stenting: early and long-term results |
| title_fullStr | Carotid artery stenting: early and long-term results |
| title_full_unstemmed | Carotid artery stenting: early and long-term results |
| title_short | Carotid artery stenting: early and long-term results |
| title_sort | carotid artery stenting early and long term results |
| topic | endovascular treatment carotid artery stenting carotid artery stenosis stroke prevention |
| url | https://annaly-nevrologii.com/journal/pathID/article/viewFile/295/188 |
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