Treatment of symptomatic severe carotid artery stenosis by angioplasty:clinical trial
10.19845/j.cnki.zfysjjbzz.2021.0002
- VernacularTitle:血管成形术治疗症状性重度颈动脉狭窄的临床研究
- Author:
Xiao CHEN
1
;
Jing SU
1
;
Shizhong ZHANG
1
Author Information
1. Shandong First Medical University(Shandong Academy of Medical Sciences,Taian 271000,China
- Publication Type:Journal Article
- Keywords:
Symptomatic severe carotid artery stenosis;
Carotid endarterectomy;
Carotid artery stenting
- From:
Journal of Apoplexy and Nervous Diseases
2021;38(1):9-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and efficacy of carotid endarterectomy and carotid artery stenting in the treatment of symptomatic severe carotid stenosis. Methods Retrospectively analyzed 203 patients with symptomatic severe carotid artery stenosis who received CEA or CAS treatment in Taishan Affiliated Hospital of Shandong First Medical University hospital from January 2016 to December 2018,The postoperative complications,and 1 year follow-up outcomes were recorded. Results A total of 203 patients with symptomatic severe carotid stenosis were included,and they were divided into the CAS group (n=132) and the CEA group (n=71). There were no statistically significant differences in age,gender,risk factors,blood pressure,etc. (P>0.05). In the analysis of perioperative complications,there were 3 cases of neck hematoma in CEA group (P=0.017). The proportion of stroke within 30 days in the CAS group was significantly higher than that in the CEA group (P=0.034). Results Of 1-year follow-up showed that the restenosis rate of CAS group was significantly higher than that of CEA group (P=0.047). There was no significant difference between the two groups in terms of myocardial infarction,death and stroke. Conclusion Both CAS group and CEA group can safely and effectively treat symptomatic severe carotid artery stenosis. In terms of perioperative complications,neck swelling in the CEA group was significantly higher than CAS group,and the proportion of stroke within 30 days and restenosis within 1-year flow up in the CAS group was significantly higher than that in the CEA group.
- Full text:2024073023553293353Treatment of symptomatic severe carotid artery stenosis by angioplasty_clinical trial.pdf
