Acta clinica Croatica, Vol. 45 No. 4, 2006.
Recenzija, Prikaz slučaja
Invasive Treatment of Symptomatic Carotid Artery Stenosis - Present Status of Carotid Endarterectomy and Carotid Angioplasty
Iva Brčić
Günther E. Klein
Kurt Niederkorn
Sažetak
In this paper we present carotid angioplasty with stenting (CAS) as a relatively new endovascular treatment for carotid stenosis. It has become an established alternative to carotid endarterectomy (CEA) for high-risk patients not eligible for surgery. After presenting data on CEA and CAS and studies comparing CEA and CAS, our results comparing the outcome of patients after CAS and carotid endarterectomy (CEA) are presented. Until December 2004, 183 patients with carotid artery desease (37% of asymptomatic and 63% of symptomatic internal carotid artery stenosis), mean age 68 years, were followed up for 133 days. During the first 24 hours of percutaneous transluminal coronary angioplasty with stenting (stent-PTA), 4 (2.2%) patients had transient ishemic attack (TIA) and 3 (1.5%) patients suffered stroke, and within 30 days post-intervention, another patient presented with TIA and another 2 patients had stroke. Overall 12 of 183 patients (6.6%) had cerebrovascular event (6 TIA and 6 stroke) during the 6-month follow up period. Clinical prognosis of this cohort treated with stent-PTA is comparable with data published in the literature.
Ključne riječi
Carotid stenosis - therapy; Endarterectomy, carotid - stents; Cerebrovascular accident - prevention and control
Hrčak ID:
14075
URI
Datum izdavanja:
1.12.2006.
Posjeta: 2.468 *