Medknow Publications on behalf of the Neurological Society of India
Vol. 54, No. 1, 2006, pp. 68-72
Bioline Code: ni06018
Full paper language: English
Document type: Research Article
Document available free of charge
Neurology India, Vol. 54, No. 1, 2006, pp. 68-72
© Copyright 2006 Neurology India.
Carotid artery stenting: Results and long-term follow-up|
Gupta AK, Purkayastha S, Kapilamoorthy TR, Nair MD, Krishnamoorthy T, Rupa S, Kesavadas C, Bodhey NK, Thomas B
Background and Purpose: The role of carotid artery stenting (CAS) as an alternative to carotid endarterectomy in the treatment of for symptomatic carotid artery stenosis is investigated.
Materials and Methods: Forty-seven patients underwent CAS over 10-year period. Forty-nine vessels were treated. Stenosis quantification was done using North American symptomatic carotid endarterectomy trial method. The mean follow-up period by clinical and Duplex examination ranged is 5.6 years.
Results: The technical success rate was 100%. There were four deaths (8.1%) and two (4.1%) minor strokes within thirty days of procedure. There was no major strokes. All patients with minor stroke achieved complete recovery at 1-month follow up. Two deaths occurred probably due to hyperperfusion syndrome (HS) and two due to cardiac arrest.
Conclusion: CAS is an effective treatment modality of symptomatic carotid artery disease but should be carefully done in high-risk groups having severe medical ailments and those having severe bilateral stenosis of the carotid arteries.
Carotid artery stenting; interventional radiology; stroke.
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