Document Detail


Carotid artery stent placement with embolic protection: single-center experience.
MedLine Citation:
PMID:  17377178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the efficacy of carotid artery stent placement with embolic protection. MATERIALS AND METHODS: During a 2-year period (May 2003 to April 2005), 232 patients underwent carotid artery stent placement with the Acculink RX stent-graft and an embolic protection device. There were 150 men (mean age,70 years; age range, 58-85 years) and 82 women (mean age, 76 years; age range, 56-82 years). One hundred sixty-five patients were symptomatic and 67 were asymptomatic. All patients were at high risk for carotid endarterectomy. RESULTS: The procedure was technically successful in 231 patients. The procedure was stopped in one patient due to asystole. In three patients, a cervical approach was necessary owing to aortic arch anatomy. During the procedure,11 patients (4.74%) experienced bradycardia and two developed a major stroke (0.86%). The mean follow-up was 30 months (range, 12-36 months). Four patients died. No stent occlusion was observed. During the late follow-up period(>30 days), two patients (0.86%) had minor strokes, three (1.29%) had nonfatal transient ischemic attacks, and seven(3.01%) had myocardial infarctions. CONCLUSION: Carotid artery stent placement with cerebral protection by using the specific devices compares favorably to previously reported surgical results.
Authors:
Nikolaos Saratzis; Athanasios Saratzis; Nikolaos Melas; Athanasios Lioupis; Dimitrios Lykopoulos; Georgios Ginis; John Lazaridis; Kyriakos Ktenidis; Dimitrios Kiskinis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  18     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  337-42     Citation Subset:  IM    
Affiliation:
First Department of Surgery, Aristotle University, Farmaki 9A Str 55236, Thessaloniki, Greece. a_saratzis@yahoo.gr
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Vessel Prosthesis / statistics & numerical data*
Carotid Artery Diseases / epidemiology*,  therapy*
Embolization, Therapeutic / instrumentation*,  statistics & numerical data*
Female
Greece / epidemiology
Humans
Male
Middle Aged
Prevalence
Retrospective Studies
Stents*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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