Outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis.

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dc.contributor.authorBalashankar, Gomathi Sen_US
dc.contributor.authorSivakumar, Aen_US
dc.contributor.authorArbun Sheeba, Jen_US
dc.contributor.authorEzhilan, Jen_US
dc.contributor.authorUlhas, M Pen_US
dc.contributor.authorLatchumanadhas, Ken_US
dc.contributor.authorMullasari, A Sen_US
dc.date.accessioned2008-07-27en_US
dc.date.accessioned2009-05-27T04:25:14Z
dc.date.available2008-07-27en_US
dc.date.available2009-05-27T04:25:14Z
dc.date.issued2008-07-27en_US
dc.description.abstractOBJECTIVE: Carotid endarterectomy is superior to medical therapy in patients with significant extracranial carotid artery stenosis. This modality of treatment has its own complications. The principal objective of this study is to assess efficacy, feasibility and outcomes of carotid artery stenting in both symptomatic and asymptomatic carotid artery stenosis. METHODS: Our study is a retrospective analysis of 45 consecutive patients with 56 lesions who underwent carotid angioplasty with stenting from January 2000 to June 2007 for carotid artery stenosis of more than 70%. All patients underwent detailed neurological examination and carotid Doppler evaluation by using Sonos 5500. Computed tomography of brain was done in those patients who were symptomatic in the past. RESULTS: The mean age of the study population was 65 +/- 9.2 years. There were 34 (79%) patients with coronary artery disease and out of them 31 (68%) patients had undergone coronary artery bypass grafting. All patients with common carotid artery, 13 (81%) patients with right internal carotid stenosis and 12 (66%) patients with left internal carotid artery stenosis had ostioproximal stenosis. Contralateral lesion was found in 9 patients and 2 patients had total occlusion. There were no post-procedural neurological events. Only one patient died in our study population due to non-cerebral cause. CONCLUSION: Carotid artery stenting is a safe procedure. The 30 days' outcomes are similar in both symptomatic and asymptomatic patients with significant carotid artery stenosis.en_US
dc.description.affiliationInstitute of Cardiovascular Diseases, Madras Medical Mission, Mogappair, Chennai, India. icvddoctors@mmm.org.inen_US
dc.identifier.citationBalashankar GS, Sivakumar A, Arbun Sheeba J, Ezhilan J, Ulhas MP, Latchumanadhas K, Mullasari AS. Outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis. Indian Heart Journal. 2008 Jul-Aug; 60(4): 325-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/4951
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAgeden_US
dc.subject.meshCarotid Arteries --pathologyen_US
dc.subject.meshCarotid Stenosis --physiopathologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshStentsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleOutcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis.en_US
dc.typeJournal Articleen_US
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