Carotid artery stenting: Results and long-term follow-up

Background and Purpose: The role of carotid artery stenting (CAS) as an alternative to carotid endarterectomy in the treatment of for symptomatic carotid artery stenosis is investigated. Materials and Methods: Forty-seven patients underwent CAS over 10-year period. Forty-nine vessels were treated. S...

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Bibliographic Details
Published in:Neurology India 2006-01, Vol.54 (1), p.68-72
Main Author: Gupta AK, Purkayastha S, Kapilamoorthy TR, Nair MD, Krishnamoorthy T, Rupa S, Kesavadas C, Bodhey NK, Thomas B
Format: Article
Language:English
Subjects:
Adult
Aged
Care and treatment
Carotid artery diseases
Carotid artery stenting
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
Endarterectomy, Carotid
Female
Follow-Up Studies
Humans
interventional radiology
Male
Medical equipment
Middle Aged
Physiological apparatus
Radiography
Retrospective Studies
Stents
stroke
Ultrasonography
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Summary:Background and Purpose: The role of carotid artery stenting (CAS) as an alternative to carotid endarterectomy in the treatment of for symptomatic carotid artery stenosis is investigated. Materials and Methods: Forty-seven patients underwent CAS over 10-year period. Forty-nine vessels were treated. Stenosis quantification was done using North American symptomatic carotid endarterectomy trial method. The mean follow-up period by clinical and Duplex examination ranged is 5.6 years. Results: The technical success rate was 100%. There were four deaths (8.1%) and two (4.1%) minor strokes within thirty days of procedure. There was no major strokes. All patients with minor stroke achieved complete recovery at 1-month follow up. Two deaths occurred probably due to hyperperfusion syndrome (HS) and two due to cardiac arrest. Conclusion: CAS is an effective treatment modality of symptomatic carotid artery disease but should be carefully done in high-risk groups having severe medical ailments and those having severe bilateral stenosis of the carotid arteries.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.24711