Document Detail


Effect of carotid angioplasty-stenting on short-term mortality and stroke.
MedLine Citation:
PMID:  14633319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Carotid angioplasty-stenting (CAS) was attempted in 78 carotid arteries in 74 patients (45 men and 29 women) with occlusive internal carotid arterial disease and was technically successful in 77 of 78 arteries (99%). Of 77 arteries with successful CAS, 58 (75%) were asymptomatic, 15 (20%) were associated with transient ischemic attacks or amaurosis, and 4 (5%) were associated with prior stroke. Of 77 arteries with successful CAS, 34 (44%) were associated with prior carotid endarterectomy with recurrence of occlusive carotid disease, and 43 arteries (56%) were associated with primary CAS. Sixty-eight of 74 patients (92%) who underwent CAS had high-risk features. Cerebral protection was given to 22 of 74 patients (30%). None of the 74 patients (0%) died of CAS. Minor stroke developed in 3 of 74 patients (4%). These data show that CAS is effective for treating symptomatic and asymptomatic patients with occlusive carotid arterial disease.
Authors:
Anthony L Pucillo; Romeo B Mateo; Wilbert S Aronow
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Heart disease (Hagerstown, Md.)     Volume:  5     ISSN:  1521-737X     ISO Abbreviation:  Heart Dis     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2003-11-24     Completed Date:  2004-02-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100887299     Medline TA:  Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  378-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of Cardiology, New York Medical College, Valhalla, NY 10595, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon*
Blood Vessel Prosthesis Implantation
Carotid Artery, Internal / pathology*,  surgery*
Carotid Stenosis / mortality*,  therapy*
Female
Humans
Incidence
Male
Middle Aged
New York / epidemiology
Postoperative Complications / etiology,  mortality
Protective Devices
Stents*
Stroke / etiology*,  mortality*
Time Factors
Treatment Outcome

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


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