Carotid stent-assisted angioplasty

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dc.contributor.authorSmedema J.P.
dc.contributor.authorSaaiman A.
dc.date.accessioned2011-05-15T16:15:57Z
dc.date.available2011-05-15T16:15:57Z
dc.date.issued1997
dc.description.abstractWe present the results of the first 33 patients who underwent carotid stent-assisted angioplasty at the Heart Unit of Panorama Medi-Clinic between March 1995 and June 1996. Intravascular stents (48 Palmaz-Schatz and 1 Wall stent) were deployed in the common carotid arteries (5) and internal carotid arteries (38) of both symptomatic (28 patients) and asymptomatic patients (5 patients) with > 60% stenosis (35 with > 70% and 6 with 60% stenosis). Thirteen patients underwent bilateral stent implantation, and had percutaneous transluminal coronary angioplasty or a peripheral and/or coronary stent implanted. Mean admission time was 2 days. Follow-up for 15 months (mean 9 months) employed clinical evaluation, duplex scanning at 6 and 12 months, and cerebral magnetic resonance imaging before, 48 hours and 6 months after the procedure. Angiographic success, defined as maximal residual stenosis < 10%, was achieved in 100%. Clinical success, defined as maximal residual stenosis < 10% and absence of death or recurrent transient ischaemic attack or stroke in hospital, was achieved in 97.7% of treated lesions. Complications included one procedure-related ipsi-lateral stroke and two angiography-related cerebellar infarcts. No transient ischaemic attacks or deaths occurred. No early or late restenoses have been observed to date. This experience with carotid stent-assisted angioplasty indicates that interventional neurovascular therapies may provide a useful alternative for selected patients requiring endoluminal reconstruction of carotid stenoses.
dc.description.versionArticle
dc.identifier.citationCardiovascular Journal of South Africa
dc.identifier.citationSUPPL. 1
dc.identifier.issn10159657
dc.identifier.urihttp://hdl.handle.net/10019.1/13565
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectbrain infarction
dc.subjectcarotid artery obstruction
dc.subjectclinical article
dc.subjectclinical trial
dc.subjectcommon carotid artery
dc.subjectfemale
dc.subjecthuman
dc.subjectinternal carotid artery occlusion
dc.subjectmale
dc.subjectpercutaneous transluminal angioplasty
dc.subjectstent
dc.subjectstroke
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectAngiography
dc.subjectAngioplasty, Balloon
dc.subjectCarotid Arteries
dc.subjectCarotid Stenosis
dc.subjectCerebral Infarction
dc.subjectCerebrovascular Disorders
dc.subjectFemale
dc.subjectHumans
dc.subjectMagnetic Resonance Imaging
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectStents
dc.subjectUltrasonography, Doppler, Duplex
dc.titleCarotid stent-assisted angioplasty
dc.typeArticle
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