A prospective observational study of carotid artery stenting (CAST) under neuro-protection and carotid endarterectomy (CEA) in high-risk patients. Technical and clinical outcome

2005 ◽  
Vol 174 (S1) ◽  
pp. 34-34
Author(s):  
N. Hynes ◽  
B. Mahendran ◽  
J. Asad ◽  
E. Andrews ◽  
S. Tawfik ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Clinical Outcome ◽  
Observational Study ◽  
Carotid Endarterectomy ◽  
Carotid Artery Stenting ◽  
Prospective Observational Study ◽  
High Risk Patients ◽  
Risk Patients ◽  
Neuro Protection

scholarly journals Postoperative ischemic events in patients undergoing carotid artery stenting using algorithmic selection for embolic protection

2019 ◽  
Vol 32 (4) ◽  
pp. 294-302 ◽  
Author(s):  
Yasuhiro Kawabata ◽  
Norio Nakajima ◽  
Hidenori Miyake ◽  
Shunichi Fukuda ◽  
Tetsuya Tsukahara
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Transient Ischemic Attack ◽  
Carotid Artery Stenting ◽  
Minor Stroke ◽  
High Risk Patients ◽  
Embolic Protection ◽  
Risk Patients ◽  
Ischemic Attack

Purpose Carotid artery stenting (CAS) is a valuable alternative to carotid endarterectomy, especially in high-risk patients. However, the reported incidences of perioperative stroke and death remain higher than for carotid endarterectomy, even when using embolic protection devices (EPDs) during CAS. Our purpose was to evaluate 30-day major adverse events after CAS when selecting the most appropriate EPD. Methods We reviewed the clinical outcomes of 61 patients with 64 lesions who underwent CAS with EPDs. Patients who underwent CAS associated with thrombectomy and who had a preoperative modified Rankin scale score >3 were excluded from the analysis. The EPD was selected based on symptoms, carotid wall magnetic resonance imaging and lesion length, and we analyzed combined 30-day complication rates (transient ischemic attack, minor stroke, major stroke or death). Results Forty-nine patients were men and 12 were women. The median age was 72 years (range: 59–89 years) and 44 lesions were asymptomatic. A filter-type EPD was selected in 23 procedures, distal-balloon protection in 14 procedures and proximal-occlusive protection in 27 procedures. Two patients (3.1%) experienced a transient ischemic attack and one patient (1.6%) had a minor stroke within 30 days of the procedure. No patients experienced procedure-related morbidities (modified Rankin score >2) or death. Conclusions The perioperative stoke rate was low when we selected a proximal-occlusive-type EPD in high-risk patients with vulnerable carotid artery disease. Our algorithm for EPD selection was an effective tool in the perioperative management of carotid artery stenosis.

scholarly journals Carotid Artery Stenting With Filter Protection in High-Risk Patients Showing Severe Electroencephalographic Alterations During Carotid Endarterectomy

2006 ◽  
Vol 13 (4) ◽  
pp. 451-456 ◽  
Author(s):  
Roberto Gandini ◽  
Alessio Spinelli ◽  
Sebastiano Fabiano ◽  
Vittorio Colangelo ◽  
Maria Grazia Marciani ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Stenting ◽  
High Risk Patients ◽  
Risk Patients

Carotid artery stenting with routine cerebral protection in high-risk patients

2004 ◽  
Vol 188 (6) ◽  
pp. 644-652 ◽  
Author(s):  
Peter H. Lin ◽  
Ruth L. Bush ◽  
Dieter F. Lubbe ◽  
Mitchell M. Cox ◽  
Wei Zhou ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Cerebral Protection ◽  
High Risk Patients ◽  
Risk Patients

Outcomes of carotid artery stenting in high-risk patients; a single center retrospective review

2012 ◽  
Vol 54 (4) ◽  
pp. 289
Author(s):  
Ahmet Kirbas ◽  
Nursen Tanrikulu ◽  
Mutlu Cihangiroglu ◽  
Omer Isik
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Retrospective Review ◽  
Carotid Artery Stenting ◽  
Single Center ◽  
High Risk Patients ◽  
Risk Patients
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