The early and mid-term results of carotid artery stenting in high-risk patients.
10.4174/jkss.2011.80.4.283
- Author:
Woo Sung YUN
1
;
Woo Hyung KWUN
;
Bo Yang SUH
Author Information
1. Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea. whkwun@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Carotid artery stenosis;
Stents;
Endarterectomy;
Stroke
- MeSH:
Brain;
Carotid Arteries;
Carotid Stenosis;
Coronary Artery Disease;
Endarterectomy;
Endarterectomy, Carotid;
Female;
Freedom;
Humans;
Magnetic Resonance Imaging;
Patient Selection;
Penicillanic Acid;
Retrospective Studies;
Risk Factors;
Stents;
Stroke
- From:Journal of the Korean Surgical Society
2011;80(4):283-288
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to investigate early and mid-term outcomes of carotid artery stenting (CAS). METHODS: We retrospectively reviewed 111 patients who were treated for carotid stenosis between October 2004 and December 2009 (42 CASs and 69 carotid endarterectomies [CEAs]). RESULTS: CAS group was older than CEA group (70 years vs. 67 years, P = 0.001). Coronary artery disease and high lesion above the 2nd cervical vertebral body were more common in CAS group (29% vs. 13%, P = 0.002; 4% vs. 24%, P = 0.004). The 30-days stroke rate was higher in CAS group (10% vs. 1% in CEA group, P = 0.067, Fisher's exact test). New brain lesions on diffusion-weighted magnetic resonance imaging were more common in CAS group (48% vs. 20% in CEA group, P = 0.002, chi-square test). The 1-, 3-year freedom from stroke were 91%, 84% in CAS group and 99%, 99% in CEA group (P = 0.007, log-rank test). Univariate analysis showed that female gender and age > 70 years were related with postprocedural neurological complications (P = 0.046 and P = 0.007, log-rank test). However, none were independent risk factors on multivariate analysis. CONCLUSION: In our series, the rates of peri-procedural neurological complications in CAS group were significantly high. These results suggest that more experience and restricted patient selection will be needed for CAS.
