Percutaneous Angioplasty and Stenting of Carotid Artery: Study of 18 Cases.
Loading...
Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Carotid angioplasty & stenting is becoming an emerging therapeutic option for
carotid revascularization. The use of cerebral protection system has expanded the area of application
of the procedure worldwide.
Purpose: To assess the feasibility, success rate, safety as well as in-hospital & early 30 days outcome
in patients undergoing percutaneous carotid intervention.
Methods: A retrospective, observational study where a total of 18 (Eighteen) consecutive patients
who presented with symptomatic and > 70 % carotid artery stenosis & asymptomatic but > 90%
stenosis underwent percutaneous carotid intervention. All of them had coronary artery disease;
CABG was done in 3 patients & PCI in 9 patients. Three of them had previous stroke (Ischemic) & 7
had TIA.
Results: Technical and angiographic success was achieved in all patients. Carotid artery obstruction
diminishes from 85 + 14 % to 10 + 5 % (p< .001). Mean lesion length was 12 + 3 mm and mean time
of carotid occlusion during balloon inflation was 10 + 2.5 sec. distal protection devices used in all
patents. No major stroke or death occurred during procedure. One patient developed No-flow because
of obstruction of distal protection device which was managed by thrombosuction. One patient
developed TIA. All patients were discharged from hospital after an average of 3 days & all of them
were prescribed dual antiplatalet therapy for 6 months. During follow-up one patient died secondary
to acute myocardial infarction and one patient developed major stroke.
Conclusion: Percutaneous angioplasty and stenting associated with distal protective devices appear
feasible, effective and almost safe endovascular treatment modality for carotid artery stenosis.
Description
Keywords
Carotid artery disease, Carotid angioplasty
Citation
Momenuzzaman N A M, Begam F, Khan K N, Dey A, Adhikary D K, Ilius Z M, Sohail K M, Haque F Amin M U, Rahman R, Mallick S k, Haque SMZ. Percutaneous Angioplasty and Stenting of Carotid Artery: Study of 18 Cases. Cardiovascular Journal. 2010; 2(2): 218-222.