Stent-assisted percutaneous angioplasty for extra-cranial carotid disease:experience at Singapore General Hospital.
- Author:
Apoorva GOGNA
1
;
Narayan LATH
;
Hui Meng CHANG
;
Bien Soo TAN
;
Meng Cheong WONG
;
Tian Hai KOH
;
Soo Teik LIM
;
Maung Myint HTOO
;
Winston E H LIM
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Angioplasty; methods; Angioplasty, Balloon, Coronary; methods; Carotid Artery Diseases; surgery; Female; Hospitals, General; Humans; Male; Middle Aged; Outcome Assessment (Health Care); Retrospective Studies; Risk; Singapore; Stents
- From:Annals of the Academy of Medicine, Singapore 2009;38(9):756-762
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONThis study aims to analyse the results of carotid stenting in a tertiary referral centre in Singapore.
MATERIALS AND METHODSRetrospective analysis of all carotid artery stenting (CAS) cases in a single centre from March 1997 to December 2008 was performed. Sixty successful procedures were performed in 61 patients, with bilateral stenting in 1 patient, and 2 failed procedures. The majority were Chinese (78.7%) and males (77.0%), with a high proportion having hypertension (82.0%) and hypercholesterolaemia (78.7%). The majority (91.8%) of patients were high surgical risk candidates, primarily due to cardiac risk factors. Ten patients (16.4%) had prior neck irradiation for nasopharyngeal carcinoma, and 3 patients each (4.9%) had previous endarterectomy and contralateral occlusion. A distal embolic protection device was used in 71.7% of cases.
RESULTSTechnical success was 96.8%. The 30-day stroke and death rate was 13.8%, comparable to reported results for this high surgical risk population.
CONCLUSIONCAS is a technically feasible and a relatively safe alternative to endarterectomy to treat extracranial carotid stenosis, especially in patients who are inoperable or at high surgical risk.
