Endovascular management of symptomatic carotid stenosis combined with kinking / 中华外科杂志
Chinese Journal of Surgery
; (12): 105-108, 2011.
Article
ي Zh
| WPRIM
| ID: wpr-346349
المكتبة المسؤولة:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the necessity, feasibility, security of carotid angioplasty and stenting (CAS) for symptomatic carotid stenosis combined with kinking.</p><p><b>METHODS</b>Twelve patients with symptomatic carotid stenosis and kinking demonstrated by digital subtraction angiography (DSA) received CAS from December 2003 to December 2009. There were 9 male and 3 female patients, age ranged from 59 to 77 years (mean 69.3 years). All the patients' clinical, imaging, intervention and follow up data were collected and analyzed.</p><p><b>RESULTS</b>All CAS procedures were successfully performed with 14 self-expandable stents placed. The mean degree of stenosis was reduced from 85.6% before stenting to 11.2% after stenting, the angle of kinking, according to Metz' category, were improved from less than 90° to more than 120° in each case. No perioperative procedure related stroke and transient ischemic attack (TIA) occurred. The clinical symptoms and signs of cerebral ischemia were improved or disappeared for all patients. During follow-up of these 12 patients for 6 to 72 months, one patient experienced ipsilateral carotid territory TIA and another patient experienced contralateral carotid territory TIA. DSA follow up of 5 patients demonstrated 1 case with in-stent restenosis and arterial kinking remote to the stent of internal carotid artery. CAS were performed again and CT angiography follow up demonstrated no kinking and restenosis 2 years after the intervention. Duplex scan of the other 7 patients demonstrated neither kinking nor restenosis.</p><p><b>CONCLUSIONS</b>CAS seems to be feasible and safe for the patients with symptomatic kinking and stenosis, and maybe helpful to lower the risk of cerebral ischemia, but further study is needed.</p>
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
General Surgery
/
Stents
/
Feasibility Studies
/
Follow-Up Studies
/
Treatment Outcome
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Carotid Stenosis
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Angioplasty, Balloon
/
Methods
نوع الدراسة:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Aged
/
Female
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Humans
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Male
اللغة:
Zh
مجلة:
Chinese Journal of Surgery
السنة:
2011
نوع:
Article