Document Detail

Carotid stenting and transcranial Doppler monitoring: indications for carotid stenosis treatment.
MedLine Citation:
PMID:  20675330     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Recently, angioplasty and stenting of carotid arteries (CAS) have taken the place of surgery. The aim of our study is to assess the role of transcranial Doppler (TCD) monitoring during CAS to address the embolic complications during the stages of the procedure, with or without embolic cerebral protection devices.
METHODS: A total of 152 patients were submitted to carotid stenting. All patients were submitted to carotid arteries Duplex scanning.
RESULTS: Neurological complications are related to TCD detection of corpuscolate signals in rapid succession. Even if no reduction of the overall incidence rate of microembolic signals (MES) was observed, a decrease in the number of corpuscolate emboli were recorded when a cerebral protection was working.
CONCLUSIONS: According to our study, even in selected patients on the basis of preoperative diagnostic criteria, CAS is burdened by a nonnegligible risk of subclinical embolic ischemic events detected at TCD and confirmed by diffusion-weighted magnetic resonance imaging (DW-MRI).
Roberto Gattuso; Ombretta Martinelli; Alessia Alunno; Ilaria D'Angeli; Marco Felli; Anna Castiglione; Luciano Izzo; Bruno Gossetti
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-30
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-15     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  535-8     Citation Subset:  IM    
Department of Vascular Surgery A, Sapienza University, Rome, Italy.
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MeSH Terms
Angioplasty / adverse effects,  instrumentation*
Brain Ischemia / etiology,  prevention & control,  ultrasonography*
Carotid Stenosis / therapy*,  ultrasonography
Diffusion Magnetic Resonance Imaging
Embolic Protection Devices
Intracranial Embolism / etiology,  prevention & control,  ultrasonography*
Predictive Value of Tests
Treatment Outcome
Ultrasonography, Doppler, Duplex
Ultrasonography, Doppler, Transcranial*

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