Clinical analysis of simultaneous bilateral carotid stenting for treating patients with bilateral atherosclerostic carotid stenosis
10.3760/cma.j.issn.0253-3758.2012.04.004
- VernacularTitle:同期双侧颈动脉支架术治疗双侧颈动脉严重狭窄的临床观察
- Author:
Hui DONG
1
;
Xiong-Jing JIANG
;
Meng PENG
;
Wei JI
;
Si-Yong TENG
;
Hai-Ying WU
;
Rui-Tai HUI
;
Yue-Jin YANG
Author Information
1. 北京协和医学院,中国医学科学院,阜外心血管病医院
- Keywords:
Carotid stenosis;
Stents;
Treatment outcome
- From:
Chinese Journal of Cardiology
2012;40(4):278-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and feasibility of simultaneous bilateral carotid stenting for treating patients with bilateral atherosclerostic carotid stenosis.Methods The clinical data of 39 consecutive patients with bilateral atherosclerostic carotid stenosis undergoing simultaneous bilateral carotid artery stenting in Fuwai hospital from January 2005 to December 2009 were collected and analyzed retrospectively.The reduction of the angiographic diameter stenosis after stenting and clinical outcomes of 30 days after stenting including hyperperfusion syndrome,hemodynamic depression,stroke,myocardial infarction and death were assessed.Results The patients were 43 - 78 (65.9 ± 8.5 ) years old,and there were 25 (64.1％ )male.Carotid stenting procedure success rate was 100％.Distal embolic protection devices were used in all patients,and 20( 51.3％ ) out of 39 patients underwent coronary artery bypass surgery after carotid stenting.The angiographic diameter stenosis reduced from ( 87.0 ± 5.8 ) ％ to ( 10.2 ± 5.6 ) ％ after stenting (P＜0.01 ).Up to 30 days after carotid artery stenting,the incidence of hyperperfusion syndrome,hemodynamic depression,minor stroke,major stroke,myocardial infarction and death was 2.6％ (1/39),28.2％(11/39),5.1％ (2/29),0,2.6％ (1/39),2.6％ (1/39),respectively.Conclusion The data show that simultaneous bilateral carotid stenting is a technically feasible and safe alternative for patients with severe bilateral atherosclerostic carotid stenosis.
