Endovascular management of symptomatic carotid stenosis combined with kinking / 中华外科杂志
Chinese Journal of Surgery
; (12): 105-108, 2011.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-346349
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the necessity, feasibility, security of carotid angioplasty and stenting (CAS) for symptomatic carotid stenosis combined with kinking.</p><p><b>METHODS</b>Twelve patients with symptomatic carotid stenosis and kinking demonstrated by digital subtraction angiography (DSA) received CAS from December 2003 to December 2009. There were 9 male and 3 female patients, age ranged from 59 to 77 years (mean 69.3 years). All the patients' clinical, imaging, intervention and follow up data were collected and analyzed.</p><p><b>RESULTS</b>All CAS procedures were successfully performed with 14 self-expandable stents placed. The mean degree of stenosis was reduced from 85.6% before stenting to 11.2% after stenting, the angle of kinking, according to Metz' category, were improved from less than 90° to more than 120° in each case. No perioperative procedure related stroke and transient ischemic attack (TIA) occurred. The clinical symptoms and signs of cerebral ischemia were improved or disappeared for all patients. During follow-up of these 12 patients for 6 to 72 months, one patient experienced ipsilateral carotid territory TIA and another patient experienced contralateral carotid territory TIA. DSA follow up of 5 patients demonstrated 1 case with in-stent restenosis and arterial kinking remote to the stent of internal carotid artery. CAS were performed again and CT angiography follow up demonstrated no kinking and restenosis 2 years after the intervention. Duplex scan of the other 7 patients demonstrated neither kinking nor restenosis.</p><p><b>CONCLUSIONS</b>CAS seems to be feasible and safe for the patients with symptomatic kinking and stenosis, and maybe helpful to lower the risk of cerebral ischemia, but further study is needed.</p>
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Stents
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Estudos de Viabilidade
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Seguimentos
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Resultado do Tratamento
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Estenose das Carótidas
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Angioplastia com Balão
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Métodos
Tipo de estudo:
Estudo diagnóstico
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Estudo observacional
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Estudo prognóstico
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Fatores de risco
Limite:
Idoso
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Feminino
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Humanos
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Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo