Safety and Feasibility Assessment for Treating Severe External Carotid Artery Stenosis and Ipsilateral Internal Carotid Artery Occlusion by External Carotid Artery Stenting
10.3969/j.issn.1000-3614.2018.01.011
- VernacularTitle:颈外动脉支架术治疗严重颈外动脉狭窄合并同侧颈内动脉闭塞的安全性和可行性研究
- Author:
Hui DONG
1
;
Xiong-Jing JIANG
;
Meng PENG
;
Wu-Qiang CHE
;
Hong-Liang XIONG
;
Yang CHEN
;
Yu-Bao ZOU
;
Lei SONG
;
Bo XU
;
Yue-Jin YANG
;
Run-Lin GAO
Author Information
1. 北京协和医学院 中国医学科学院 国家心血管病中心 阜外医院 心内科
- Keywords:
Carotid artery stenosis;
Stents;
Treatment results
- From:
Chinese Circulation Journal
2018;33(1):60-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To assess the safety and feasibility for treating the patients with severe external carotid artery (ECA) stenosis and ipsilateral internalcarotid artery (ICA)occlusion by external carotid artery steting (ECAS). Methods: A total of 17 consecutive patients with severe ECA stenosis and ipsilateral ICA occlusion treated in our hospital by ECAS from 2008-01 to 2013-06 were retrospectively studied. Post-operative improvements of cerebral ischemia and neurocognitive function [Mini-mental state examination (MMSE) and Montreal cognitive assessment (MOCA)] were evaluated, complications at peri-operative and 12 months follow-up period were recorded. Results: The patients' mean age was (65.4±8.0) years including 13(76.5％) male. The success rate of ECAS was 100％;2 patients had hemodynamic depression at peri-operative period and were completely recovered by 2 days treatment.1 patient suffered from contralateral minor stroke at 12 months follow-up time, the other 16 patients were without cerebral ischemia symptoms. No complication occurred at peri-operative and 12 months follow-up period. Compared with pre-operative condition, MMSE score [(25.1±1.4) vs (23.3±1.8), P<0.01] and MOCA score [(23.9±1.2) vs (22.2±1.6), P<0.01] were increased at 3 months after ECAS; both scores were continuously increasing during 12 months follow-up period. Conclusion: ECAS may improve cerebral ischemia and cognitive function in patients with severe ECA stenosis and ipsilateral ICA occlusion.
