Document Detail


Staged carotid stenting and carotid endarterectomy for bilateral internal carotid artery stenosis. Preliminary experience.
MedLine Citation:
PMID:  20591244     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Summary: The purpose of this study was to evaluate the efficacy and safety of staged carotid stenting (CS) and carotid endarterectomy (CEA) for bilateral internal carotid artery stenosis. With this strategy, initial carotid stenting was performed for the high grade carotid stenosis to reduce the risk of subsequent CEA. Eight patients were treated with staged CS and CEA; CS for asymptomatic side followed by CEA for symptomatic side. Sufficient revascularization was obtained in all procedures but one CS procedure. Two minor stroke caused by distal embolism occurred during the perioperative period of CS. Postprocedural persistent hypotension was observed in one CS procedure. The mean interval between CS and CEA was 19.8 days. In conclusion, although our strategy has some advantages such as avoidance of bilateral cranial nerve palsy and shorter admission period over staged CEA, relatively high complication rate was noted at the first CS without any stroke morbidity post CEA. Our preliminary result showed that further reduction of periprocedural complication rate at the initial stenting is mandatory for this approach justified.
Authors:
H Fukuda; K Iihara; N Sakai; K Murao; H Sakai; T Higashi; S Kogure; J Takahashi; K Hayashi; I Nagata
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Publication Detail:
Type:  Journal Article     Date:  2004-10-22
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  9     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2003 May 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2012-10-02     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  143-8     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, National Cardiovascular Center, Osaka; Japan - hfukuda@kuhp.kyoto-u.ac.jp.
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