Stent-assisted percutaneous angioplasty for extra-cranial carotid disease:experience at Singapore General Hospital
Annals of the Academy of Medicine, Singapore
; : 756-762, 2009.
Article
de En
| WPRIM
| ID: wpr-290314
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>This study aims to analyse the results of carotid stenting in a tertiary referral centre in Singapore.</p><p><b>MATERIALS AND METHODS</b>Retrospective analysis of all carotid artery stenting (CAS) cases in a single centre from March 1997 to December 2008 was performed. Sixty successful procedures were performed in 61 patients, with bilateral stenting in 1 patient, and 2 failed procedures. The majority were Chinese (78.7%) and males (77.0%), with a high proportion having hypertension (82.0%) and hypercholesterolaemia (78.7%). The majority (91.8%) of patients were high surgical risk candidates, primarily due to cardiac risk factors. Ten patients (16.4%) had prior neck irradiation for nasopharyngeal carcinoma, and 3 patients each (4.9%) had previous endarterectomy and contralateral occlusion. A distal embolic protection device was used in 71.7% of cases.</p><p><b>RESULTS</b>Technical success was 96.8%. The 30-day stroke and death rate was 13.8%, comparable to reported results for this high surgical risk population.</p><p><b>CONCLUSION</b>CAS is a technically feasible and a relatively safe alternative to endarterectomy to treat extracranial carotid stenosis, especially in patients who are inoperable or at high surgical risk.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Singapour
/
Chirurgie générale
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Artériopathies carotidiennes
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Angioplastie coronaire par ballonnet
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Endoprothèses
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Risque
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Études rétrospectives
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29918
/
Angioplastie
/
Hôpitaux généraux
Type d'étude:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limites du sujet:
Aged
/
Aged80
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Female
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Humans
/
Male
Pays comme sujet:
Asia
langue:
En
Texte intégral:
Annals of the Academy of Medicine, Singapore
Année:
2009
Type:
Article