Carotid endarterectomy combined with stent angioplasty for the treatment of tandem stenosis of carotid artery
10.3969/j.issn.1008-794X.2015.10.019
- VernacularTitle:内膜剥脱联合支架成形治疗颈动脉串联病变
- Author:
Jianming GUO
;
Junfeng LI
;
Yongquan GU
;
Lianrui GUO
;
Hengxi YU
;
Lixing QI
;
Shijun CUI
;
Zhu TONG
;
Xixiang GAO
;
Yingfeng WU
;
Mengxia LIU
;
Jian ZHANG
;
Zhonggao WANG
- Publication Type:Journal Article
- Keywords:
carotid;
innominate artery;
stenosis;
endarterectomy;
stent implantation;
hybrid operation
- From:
Journal of Interventional Radiology
2015;(10):910-913
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of carotid endarterectomy (CEA) combined with carotid artery stent angioplasty (CASA) in treating tandem stenosis of carotid artery. Methods The clinical data of 9 patients with tandem stenosis of carotid artery, who were treated at authors' hospital during the period from January 2013 to October 2014, were retrospectively analyzed. The patients included 7 males and 2 females, with a mean age of (66.0 ±4.2) years. The disease course ranged from 2 months to 36 months, with a mean of 7 months. Clinically, all patients had cerebral ischemia symptoms. Transient ischemia attack was seen in 5 patients and history of cerebral infarction was present in 2 patients. Coronary artery disease was found in 2 patients, hypertension in 6 patients and lower limb ischemia in one patient. After receiving adequate antiplatelet therapy, CEA and CASA were carried out in all patients. Results The technical success rate was 100%, postoperative residual stenosis was less than 30%, no death occurred in perioperative period. After the treatment, the clinical symptoms were improved in all 9 patients;no new stroke or cerebral hemorrhage occurred. After the treatment, 2 patients developed cerebral hyperperfusion-related symptoms such as headache and dizziness, which were much relieved at the time of discharge. The patients were followed up for 4-19 months, with a mean of (10.5±6.2) months. No recurrence of symptoms was observed . In one patient , transcranial Doppler ultrasound performed at 6 months after treatment showed that the carotid artery became moderate restenosis (50%-70%). No death occurred. Conclusion For the treatment of tandem stenosis of carotid artery, CEA combined with CASA is safe and effective, although larger sample and long-term follow-up studies are still needed to further confirm the effect.
