Addition of common carotid intervention increases the risk of stroke and death after carotid artery stenting for asymptomatic patients

• Published in: Journal of vascular surgery 2021-12, Vol.74 (6), p.1919-1928
• Main Authors: DeCarlo, Charles, MD, Tanious, Adam, MD, MMSc, Boitano, Laura T., MD, MPH, Mohebali, Jahan, MD, Stone, David H., MD, Clouse, W. Darrin, MD, Conrad, Mark F., MD, MMSc
• Format: Article
• Language: English
• Subjects: Aged; Asymptomatic Diseases; Carotid artery stenting; Carotid Artery, Common - diagnostic imaging; Carotid Stenosis - diagnostic imaging; Carotid Stenosis - mortality; Carotid Stenosis - therapy; Cerebrovascular disease; Clinical Decision-Making; Endovascular Procedures - adverse effects; Endovascular Procedures - instrumentation; Endovascular Procedures - mortality; Female; Humans; Male; Middle Aged; Registries; Retrospective Studies; Risk Assessment; Risk Factors; Stents; Stroke - diagnosis; Stroke - etiology; Stroke - mortality; Surgery; Tandem carotid lesions; Time Factors; Treatment Outcome
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2021.04.051

AbstractBackgroundA recent review of Vascular Study Group of New England data suggested that simultaneous endovascular treatment of tandem carotid lesions (TCAL: common carotid artery + internal carotid artery) is associated with a fourfold increase in perioperative neurologic events and death. However, given the small cohort, the effect of symptomatic status could not be evaluated. This study sought to determine the risk of simultaneous TCAL stenting in cohorts stratified by symptom status. MethodsVascular Quality Initiative data (2005-2020) were queried for carotid stenting procedures (CAS). Emergent and bilateral procedures, patients with prior ipsilateral CAS, internal carotid artery lesions with stenosis