scholarly journals Demographic and Technical Risk Factors of 30-Day Stroke, Myocardial Infarction, and/or Death in Standard- and High-Risk Patients Who Underwent Carotid Angioplasty and Stenting

2014 ◽  
Vol 3 (3-4) ◽  
pp. 165-173
Author(s):  
Afshin Borhani Haghighi ◽  
Samaneh Yousefi ◽  
Ehsan Bahramali ◽  
Safoora Kokabi ◽  
Seyed Taghi Heydari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
High Risk ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Technical Risk ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

scholarly journals Demographic And Technical Risk Factors Of 30-Day Stroke, Myocardial Infarction, And/Or Death In Standard And High Risk Patients Who Underwent Carotid Angioplasty And Stenting

2017 ◽  
pp. 13
Author(s):  
Samaneh Yousefi ◽  
Ehsan Bahramali ◽  
Safoora Kokabi ◽  
Seyed Taghi Heydari ◽  
Abdolhamid Shariat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
High Risk ◽  
Carotid Artery ◽  
Carotid Angioplasty ◽  
Short Term ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

Background: Carotid angioplasty and stenting (CAS) is an accepted treatment to prevent stroke in patients with carotid artery stenosis. The purpose of this study is to identify risk factors for major complications after carotid angioplasty and stenting.Methods and Material: This is a prospective study conducted at Shiraz University of Medical Sciences in southern Iran from March 2011 to June 2014. Consecutive patients undergoing carotid angioplasty and stenting were enrolled. Both standard risk and high risk patients for endarterectomy were enrolled. Demographic data, atherosclerotic risk factors, site of stenosis, degree of stenosis, and data regarding technical factors were recorded. 30-day stroke, myocardial infarction, and/or death were considered as the composite primary outcome of the study.Results:  two hundred and fifty one patients were recruited (mean age: 71.1+ 9.6 years, male: 65.3%).  One hundred and seventy eight (70.9%) patients were symptomatic; 73 (29.1%), 129 (51.4%), 165 (65.7%) and 62 (24.7%) patients were diabetic, hyperlipidemic, hypertensive and smoker respectively. CAS performed for left ICA in 113 (45.4%) patients. 14 (5.6%) patients had Sequential bilateral stenting. Mean stenosis of operated ICA was 80.2 +13.8 %. Embolic protection device was used in 203 (96.2%) patients. Predilation and post-dilation were performed in 39 (18.5%) and 182 (86.3%) patients respectively. Composite outcome was observed in 3.6% (3.2% stroke, 0% myocardial infarction and 1.2% death). Left sided lesions and presence of DM was significantly associated with poor short term outcome. (P value: 0.025 and 0.020, respectively)Conclusion: There was a higher risk of short term major complications in diabetic patients and left carotid artery intervention. 

Safety and Efficacy of Carotid Angioplasty and Stenting in High-Risk Patients

2006 ◽  
Vol 72 (8) ◽  
pp. 694-699 ◽  
Author(s):  
Rabih A. Chaer ◽  
Brian G. Derubertis ◽  
Susan M. Trocciola ◽  
Stephanie C. Lin ◽  
Robert Hynecek ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
High Risk ◽  
Confidence Interval ◽  
Carotid Angioplasty ◽  
Safety And Efficacy ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

Performance of carotid endarterectomy (CEA) may be associated with an increased risk in patients with significant comorbid medical conditions, neck irradiation, or previous CEA. This study compared the results of CEA with carotid angioplasty and stenting (CAS) in high-risk patients treated for carotid stenosis. Five hundred forty-five patients who underwent CEA and 148 patients who underwent CAS were evaluated. For patients undergoing CEA, general anesthesia was used in 91 per cent, electroencephalographic monitoring was used in 63 per cent, and shunting was performed in 19.8 per cent. Cerebral protection devices were used in 145/148 of CAS cases, and self-expanding stents were used in all cases. Evaluated end points included major cardiovascular events, and a composite of death, stroke, or myocardial infarction for the duration of the follow-up. Mean follow-up was 18 months for CAS and 23 months for CEA. Significant differences were present in patient age (CAS, 75 ± 11.0 years vs CEA, 71 ± 9 years, P = 0.012), however, there were no significant differences ( P = NS) in gender or smoking history. The mean modified Goldman Score was significantly higher for CAS (21.1 ± 14.8 [95% confidence interval = 18, 24]) than for CEA (6.3 ± 6.8 [95% confidence interval = 5.7, 6.9]; P = 0.0001) patients. The incidence of periprocedural complications did not vary significantly between patients treated with CAS (CVA, 1.4%; myocardial infarction [MI], 1.4%; death, 0.7%; CVA/MI/death, 3.4%) compared with CEA (CVA, 1.8%; MI, 1.1%; death, 0.4%; CVA/MI/death, 4.0%). CAS is equivalent to CEA in safety and efficacy, even when performed in patients who may be at increased surgical risk.

Carotid Angioplasty and Stenting in High-risk Patients

Neurosurgery ◽  
1998 ◽  
Vol 43 (3) ◽  
pp. 685-686 ◽  
Author(s):  
Felipe C. Albuquerque ◽  
George P. Teitelbaum ◽  
Steven L. Giannotta
Keyword(s):  
High Risk ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

scholarly journals Carotid angioplasty and stenting in anatomically high-risk patients: Safe and durable except for radiation-induced stenosis

2009 ◽  
Vol 50 (4) ◽  
pp. 762-767 ◽  
Author(s):  
Susanna H. Shin ◽  
Christopher L. Stout ◽  
Albert I. Richardson ◽  
Richard J. DeMasi ◽  
Rasesh M. Shah ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Risk Patients ◽  
Radiation Induced ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

scholarly journals Carotid endarterectomy in sapphire-eligible high-risk patients: implications for selecting patients for carotid angioplasty and stenting

2004 ◽  
Vol 39 (5) ◽  
pp. 958-965 ◽  
Author(s):  
Geza Mozes ◽  
Timothy M Sullivan ◽  
Diego R Torres-Russotto ◽  
Thomas C Bower ◽  
Tanya L Hoskin ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Endarterectomy ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

Carotid angioplasty and stenting in high-risk patients

1998 ◽  
Vol 50 (4) ◽  
pp. 300-312 ◽  
Author(s):  
George P. Teitelbaum ◽  
Michael A. Lefkowitz ◽  
Steven L. Giannotta
Keyword(s):  
High Risk ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

Carotid Angioplasty and Stenting for High-risk Patients with Complete Contralateral Carotid Occlusion

Neurosurgery ◽  
1998 ◽  
Vol 43 (3) ◽  
pp. 671-671 ◽  
Author(s):  
Robert A. Mericle ◽  
Stanley H. Kim ◽  
Giuseppe Lanzino ◽  
Demetrius K. Lopes ◽  
Ajay K. Wakhloo ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Occlusion ◽  
Carotid Angioplasty ◽  
High Risk Patients ◽  
Risk Patients ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting
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