Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia
Purpose Atherosclerotic stenosis of the extracranial carotid artery accounts for approximately 20% of all strokes. Both carotid artery endarterectomy and carotid artery angioplasty with stenting (CAAS) are recommended for symptomatic patients with 50% or more stenosis or asymptomatic patients with 7...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2020-11-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2020-00052.pdf |
| _version_ | 1797331804303130624 |
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| author | Hussein Algahtani Bader Shirah Abdullah S. Alghamdi Ahmad Subahi Saeed A. Alqahtani Abdulrahman Alshamy |
| author_facet | Hussein Algahtani Bader Shirah Abdullah S. Alghamdi Ahmad Subahi Saeed A. Alqahtani Abdulrahman Alshamy |
| author_sort | Hussein Algahtani |
| collection | DOAJ |
| description | Purpose Atherosclerotic stenosis of the extracranial carotid artery accounts for approximately 20% of all strokes. Both carotid artery endarterectomy and carotid artery angioplasty with stenting (CAAS) are recommended for symptomatic patients with 50% or more stenosis or asymptomatic patients with 70% or more stenosis. CAAS is under-reported in Saudi Arabia, as evidenced by a thorough literature search. In this article, we aim to share our experience of CAAS to call for the necessity of conducting more research on stroke and emphasize the local need of utilizing more endovascular treatments like CAAS. Materials and Methods A retrospective single-center observational study was conducted at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The inclusion criteria consisted of all adult patients (18 years and above) with carotid stenosis who were treated with CAAS. Results A total of 16 patients were included in the study. The mean age of the participants was 66.9±13.5 years (range 30–87 years). All patients were symptomatic (had a previous stroke or transient ischemic attack). The procedure was successful in 14 patients (87.5%), while it failed in 2 patients (12.5%) due to technical reasons. All patients had no stroke or myocardial infarction within 30 days of the procedure. Conclusion Despite the advancement in medicine with free healthcare services in Saudi Arabia, the interventional procedures for secondary prevention of strokes are underutilized. Collaboration between different hospitals will be extremely helpful since few centers in each city are providing such treatments by an expert neurointerventionist and/or strokologist. The good selection of candidates, optimal management of comorbid conditions, and multidisciplinary care may improve outcomes and reduce mortality. |
| first_indexed | 2024-03-08T07:40:36Z |
| format | Article |
| id | doaj.art-f8d4c9fdddf54932a94dd72e731b64fc |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:40:36Z |
| publishDate | 2020-11-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-f8d4c9fdddf54932a94dd72e731b64fc2024-02-02T17:32:10ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732020-11-0115313313910.5469/neuroint.2020.00052295Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi ArabiaHussein Algahtani0Bader Shirah1Abdullah S. Alghamdi2Ahmad Subahi3Saeed A. Alqahtani4Abdulrahman Alshamy5 King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia College of Medicine, King Khalid University, Abha, Saudi Arabia King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaPurpose Atherosclerotic stenosis of the extracranial carotid artery accounts for approximately 20% of all strokes. Both carotid artery endarterectomy and carotid artery angioplasty with stenting (CAAS) are recommended for symptomatic patients with 50% or more stenosis or asymptomatic patients with 70% or more stenosis. CAAS is under-reported in Saudi Arabia, as evidenced by a thorough literature search. In this article, we aim to share our experience of CAAS to call for the necessity of conducting more research on stroke and emphasize the local need of utilizing more endovascular treatments like CAAS. Materials and Methods A retrospective single-center observational study was conducted at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The inclusion criteria consisted of all adult patients (18 years and above) with carotid stenosis who were treated with CAAS. Results A total of 16 patients were included in the study. The mean age of the participants was 66.9±13.5 years (range 30–87 years). All patients were symptomatic (had a previous stroke or transient ischemic attack). The procedure was successful in 14 patients (87.5%), while it failed in 2 patients (12.5%) due to technical reasons. All patients had no stroke or myocardial infarction within 30 days of the procedure. Conclusion Despite the advancement in medicine with free healthcare services in Saudi Arabia, the interventional procedures for secondary prevention of strokes are underutilized. Collaboration between different hospitals will be extremely helpful since few centers in each city are providing such treatments by an expert neurointerventionist and/or strokologist. The good selection of candidates, optimal management of comorbid conditions, and multidisciplinary care may improve outcomes and reduce mortality.http://neurointervention.org/upload/pdf/neuroint-2020-00052.pdfangioplastystentcarotid stenosisstrokesaudi arabia |
| spellingShingle | Hussein Algahtani Bader Shirah Abdullah S. Alghamdi Ahmad Subahi Saeed A. Alqahtani Abdulrahman Alshamy Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia Neurointervention angioplasty stent carotid stenosis stroke saudi arabia |
| title | Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia |
| title_full | Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia |
| title_fullStr | Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia |
| title_full_unstemmed | Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia |
| title_short | Carotid Artery Angioplasty and Stenting for Carotid Stenosis: A Single-Center Experience from Saudi Arabia |
| title_sort | carotid artery angioplasty and stenting for carotid stenosis a single center experience from saudi arabia |
| topic | angioplasty stent carotid stenosis stroke saudi arabia |
| url | http://neurointervention.org/upload/pdf/neuroint-2020-00052.pdf |
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