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Safety and efficacy of carotid artery stenting / 南方医科大学学报
Journal of Southern Medical University ; (12): 6-10, 2006.
Artigo em Inglês | WPRIM | ID: wpr-234207
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and efficacy of carotid artery stenting (CAS).</p><p><b>METHODS</b>We prospectively evaluated the safety and efficacy of 76 carotid artery stenting (CAS) procedures in a consecutive series of 70 Chinese patients. This series represented a high-risk group that included patients with unstable angina, previous ipsilateral CEA, contralateral carotid artery occlusion, post-radiation carotid artery stenosis and other severe co-morbid conditions. The patients had independent neurological examinations before and after the procedure and follow-up cerebral angiography at 6 month.</p><p><b>RESULTS</b>The procedural success rate was 100%. The mean carotid artery stenosis was (82+/-18) % before and (5+/-10) % after the procedure. During the initial hospital period and 30 days after CAS, there was no major stroke but 3 minor strokes (5.7%). No myocardial infarctions or deaths occurred during or within 30 days following CAS. At a mean follow-up of 20+/-12 months, 2 patients (2.8%) had asymptomatic restenosis, and 2 non-Q wave myocardial infarction. Death occurred in 2 cases, but none of them was attributed to a neurological cause. Three patients had minor strokes and no major strokes occurred during the follow-up period.</p><p><b>CONCLUSION</b>Percutaneous carotid artery stenting is feasible for performance in Chinese patients and may lower the restenosis rate.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Recidiva / Cirurgia Geral / Artéria Carótida Interna / Stents / China / Epidemiologia / Estudos Prospectivos / Fatores de Risco / Seguimentos Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Journal of Southern Medical University Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Recidiva / Cirurgia Geral / Artéria Carótida Interna / Stents / China / Epidemiologia / Estudos Prospectivos / Fatores de Risco / Seguimentos Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Journal of Southern Medical University Ano de publicação: 2006 Tipo de documento: Artigo