Carotid angioplasty and stenting in patients with high-risk carotid stenosis / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
;
(6): 401-405, 2007.
Artículo
en Chino
| WPRIM
| ID: wpr-271513
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the efficacy and complication of carotid angioplasty and stenting (CAS) in patients with high-risk carotid stenosis.</p><p><b>METHODS</b>Eight cases with high-risk carotid stenosis underwent CAS with cerebral protective devices from March 2003 to April 2006, the efficacy and complications of CAS were reviewed.</p><p><b>RESULT</b>Nine stenotic carotid arteries of 8 cases were treated with CAS. Stenotic rate was significantly reduced from 75.4 % to 28.8% (P<0.001, paired t-Test) immediately after CAS. All stents used were self-expanding and most of them (77.8%) were precise nitinol stents. Five patients had mild and reversible low heart rate and blood pressure. During follow-up for 4-41 months (21.5+/-14.2), no case had stroke again, all except one had no dizziness or vertigo again. Ultrasonography and/or computed tomographic angiography showed no re-stenosis in six cases (75%) when they were followed up.</p><p><b>CONCLUSION</b>CAS with cerebral protection device is a safe and feasible procedure to treat high-risk carotid stenosis. However,its long-term efficacy and safety need to be further studied.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Arteria Carótida Interna
/
Stents
/
Estudios de Seguimiento
/
Resultado del Tratamiento
/
Estenosis Carotídea
/
Angioplastia de Balón
/
Métodos
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Journal of Zhejiang University. Medical sciences
Año:
2007
Tipo del documento:
Artículo
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