Safety and efficacy of carotid artery stenting
10.3321/j.issn:1673-4254.2006.01.023
- VernacularTitle:颈动脉支架的安全性和有效性
- Author:
Yi-Qing WANG
1
;
Saiwah Ho DAVID
;
Yan WANG
;
Jian-Tao ZHENG
;
Hong-Fei JIANG
;
Bing-Huang CHEN
Author Information
1. 厦门大学附属第一医院(厦门中山医院)
- Keywords:
carotid artery;
stenting;
safety
- From:
Journal of Southern Medical University
2006;26(1):6-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of carotid artery stenting (CAS). Methods We prospectively evaluated the safety and efficacy of 76 carotid artery stenting (CAS) procedures in a consecutive series of 70 Chinese patients. This series represented a high-risk group that included patients with unstable angina, previous ipsilateral CEA, contralateral carotid artery occlusion, post-radiation carotid artery stenosis and other severe co-morbid conditions. The patients had independent neurological examinations before and after the procedure and follow-up cerebral angiography at 6 month. Results The procedural success rate was 100%. The mean carotid artery stenosis was (82± 18)% before and (5± 10)% after the procedure. During the initial hospital period and 30 days after CAS, there was no major stroke but 3 minor strokes (5.7%). No myocardial infarctions or deaths occurred during or within 30 days following CAS. At a mean follow-up of 20±12 months, 2 patients (2.8%) had asymptomatic restenosis, and 2 non-Q wave myocardial infarction. Death occurred in 2 cases, but none of them was attributed to a neurological cause. Three patients had minor strokes and no major strokes occurred during the follow-up period.Conclusion Percutaneous carotid artery stenting is feasible for performance in Chinese patients and may lower the restenosis rate.
