Stenting for patients with high-risk and complicated carotid artery stenosis
10.3760/cma.j.issn.1673-4165.2011.04.004
- VernacularTitle:高危复杂颈动脉狭窄患者的支架置入治疗
- Author:
Jianlin LIU
;
Qiang MA
- Publication Type:Journal Article
- Keywords:
Carotid stenosis;
Stents;
Risk factors;
Treatment outcome
- From:
International Journal of Cerebrovascular Diseases
2011;19(4):255-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intervention methods of patients with high-risk and complicated carotid artery stenosis. Methods Twenty-five patients with high-risk and complicated carotid artery stenosis were treated with stenting During the procedure, they used the individualized therapeutic programs, including the implantation of temporary cardiac pacing, ev3 filter, combination of predilation and postdilation, guiding catheter (coaxial technique), staged angioplasty and stenting, and multiple stent implantations. Results The technical success rate of the 25 patients was 100%. The symptoms disappeared or improved in 21 patients (84%). The intraoperative dislodgement of emboli occurred in 1 patient. Transient ischemic attack occurred in 1 patient. No patients died. Conclusions Treatment with stenting in patients with high-risk and complicated carotid artery stenosis is safe. The preoperative evaluation of risks, the use of intraoperative individualized treatment programs, and the postoperative standardized management are the preconditions for ensuring efficacy.
