Long-term follow-up of patients after carotid stenting with or without distal protective device in a single tertiary medical center.
Vasc Endovascular Surg
; 46(7): 536-41, 2012 Oct.
Article
em En
| MEDLINE
| ID: mdl-22903330
ABSTRACT
OBJECTIVE:
To evaluate the immediate and long-term clinical outcomes after carotid artery stenting (CAS) with and without protection devices (PDs), compared with carotid endarterectomy (CEA).METHODS:
A total of 116 patients with symptomatic carotid stenosis underwent CAS; 56 patients (48.3%) underwent CAS-PD; and 137 patients underwent CEA.RESULTS:
There were more ipsilateral transient ischemic attacks (TIAs) in the CEA group than in CAS-PD and CAS + PD (4 [3%] vs 1 [1.6%] and 0 respectively, P = 0.02). In the CAS-PD group there were more vertebrobasilar TIAs, ipsi- and contralateral strokes, myocardial infarctions, and death rates in the 30-day postprocedural period. After 8-year follow-up, there were 18 (30%) death cases in the CAS-PD group, 10 death cases (17%) in the CAS + PD patients, and 15 death cases (11%) in the CEA group of patients (P = .02).CONCLUSION:
Our data show that CAS + PD was associated with lower rate of vascular complications and mortality compared with CAS-PD and CEA.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Stents
/
Estenose das Carótidas
/
Angioplastia
/
Dispositivos de Proteção Embólica
/
Centros de Atenção Terciária
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Vasc Endovascular Surg
Assunto da revista:
ANGIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Israel