Volume 70, Issue 3 (4 2012)                   Tehran Univ Med J 2012, 70(3): 162-168 | Back to browse issues page

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Davood K, Heidar K, Amin S, Z N, Bahram P, Pedram K. Short- and long-term outcomes of angioplasty and stenting for high-risk extracranial carotid stenosis in carotid endarterectomy. Tehran Univ Med J. 2012; 70 (3) :162-168
URL: http://tumj.tums.ac.ir/article-1-133-en.html
1- Interventional Cardiologist, Faculty of Medicine and Cardiovascular Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2- Department of Cardiology, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- Researcher, Chemical Injury Research Center and Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran , aminsaburi@yahoo.com
4- Department of Neurology, Baqiyatallah University of Medical Sciences, Tehran, Iran
5- Medical Student, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (5674 Views)

Background: Carotid endarterectomy (CEA) is a standard method for patient with significant carotid stenosis but direct surgical repair via carotid endarterectomy may not be a good option in some patients because of the overall health status that may make the surgery too risky. Carotid angioplasty and stenting (CAS), is a relatively new procedure for the treatment of carotid artery disease in patients who may not be fit enough to undergo surgery. In this investigation, we determined short- and long-term outcomes of stent angioplasty in high-risk patients for whom the risk of perioperative morbidity and mortality is high.

Methods: We have followed 82 consecutive symptomatic patients with a ≥50% and asymptomatic patients with a ≥70%- 80% carotid stenosis within 15.9 months of angioplasty and stenting in Baqiyatallah and Jamaran hospitals from 2008-2010. All the patients were considered poor surgical candidates by experienced surgeons and anesthesiologists upon pre-surgical consultation.

Results: This descriptive cross-sectional study was performed on 28 women and 54 men with a mean age of 69.7±9.2 years. The procedure was technically successful in 79 (96.3%) cases. There were 6 (7.3%) deaths, 5 (6.1%) strokes, 4 (4.9%) MIs and 4 (4.9%) TIAs during the follow-up period.

Conclusion: The clinical results during the short available follow-up period suggested stent angioplasty to be useful, effective, reliable and safe in the treatment of significant cervical carotid stenosis in high-risk patients. Further analytical investigations with longer follow-up periods for predicting risk factors are recommended.

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