ABSTRACT
BACKGROUND: Revascularization with carotid stent (CAS) is considered the therapeutic alternative to endarterectomy (CEA). However, its role compared to CEA remains questioned, mainly due of the heterogeneity of long-term results. The objective of this study was to report the efficacy and durability of CAS in terms of stroke prevention in a "real world experience". METHOD: This was a single-center retrospective analysis of 344 patients treated with CAS between January 2001 and December 2015.The primary outcome of the trial was stroke, myocardial infarction, or death during a periprocedural period or any stroke event over a 15-year follow-up. The secondary aim was to identify risk factors for 30-day complications, long-term neurological complications, and intra-stent restenosis. RESULTS: The primary composite end point (any stroke, myocardial infarction, or death during the periprocedural period) was 2.3%. The use of an EPD was protective against major complications.Long-term follow-up was achieved in 294 patients (85,5%) with a median of 50 months (range 0-155 months). Fifty-six (16,3%) died within this period, most commonly of nonvascular causes (4 patients had stroke-related deaths). During the follow-up period, 8 strokes and 3 TIAs were diagnosed (3.2%).ISR determined by sequential ultrasound was assessed in 4.4% of the patients and remained asymptomatic in all but 2 patients (0.6%). All patients with restenosis underwent revascularization with balloon angioplasty. CONCLUSION: The long-term follow-up results of our study validate CAS as a safe and durable procedure with which to prevent ipsilateral stroke, with an acceptable rate of restenosis, recurrence and mortality.
Subject(s)
Aortic Valve/diagnostic imaging , Echocardiography, Transesophageal , Heart Defects, Congenital/diagnostic imaging , Multidetector Computed Tomography , Multimodal Imaging/methods , Aortic Valve/abnormalities , Aortic Valve/physiopathology , Female , Heart Defects, Congenital/physiopathology , Humans , Middle Aged , Predictive Value of TestsABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Aortic Dissection/diagnosis , Celiac Artery/physiopathology , Abdomen, Acute/etiologyABSTRACT
No disponible
Subject(s)
Humans , Neoplasm Metastasis/pathology , Lung Neoplasms/secondary , Diagnostic Imaging/methodsSubject(s)
Choriocarcinoma/secondary , Lung Neoplasms/secondary , Seminoma/secondary , Testicular Neoplasms/pathology , Tomography, X-Ray Computed , Adult , Choriocarcinoma/diagnosis , Choriocarcinoma/diagnostic imaging , Humans , Lung Neoplasms/diagnosis , Lung Neoplasms/diagnostic imaging , Male , Orchiectomy , Seminoma/diagnosis , Seminoma/diagnostic imaging , Testicular Neoplasms/diagnostic imaging , Testicular Neoplasms/surgery , UltrasonographySubject(s)
Colonic Neoplasms/complications , Colonic Neoplasms/diagnosis , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/pathology , Lipoma/complications , Lipoma/diagnosis , Colonic Neoplasms/surgery , Diagnosis, Differential , Gastrointestinal Hemorrhage/diagnostic imaging , Humans , Lipoma/surgery , Male , Middle Aged , RadiographyABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Emphysematous Cholecystitis/diagnostic imaging , Tomography, X-Ray Computed , Acute DiseaseABSTRACT
No disponible
Subject(s)
Humans , Aneurysm/diagnosis , Pulmonary Artery/physiopathology , Risk Factors , Diagnostic ImagingSubject(s)
Brain Edema/chemically induced , Contrast Media/adverse effects , Extravasation of Diagnostic and Therapeutic Materials/complications , Tomography, X-Ray Computed , Aged , Blood-Brain Barrier/drug effects , Brain Edema/diagnostic imaging , Brain Infarction/complications , Carotid Artery, Internal , Carotid Stenosis/complications , Cerebellum/blood supply , Cerebellum/diagnostic imaging , Contrast Media/chemistry , Contrast Media/pharmacokinetics , Corpus Striatum/blood supply , Corpus Striatum/diagnostic imaging , Diagnosis, Differential , Extravasation of Diagnostic and Therapeutic Materials/diagnosis , Extravasation of Diagnostic and Therapeutic Materials/diagnostic imaging , Humans , Internal Capsule/blood supply , Internal Capsule/diagnostic imaging , Male , Stents , Subarachnoid Hemorrhage/diagnosis , Subarachnoid Space , Thalamus/blood supply , Thalamus/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Extravasation of Diagnostic and Therapeutic Materials/complications , Brain Diseases/chemically induced , Tomography, X-Ray ComputedABSTRACT
No disponible
