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- Title
Safety of balloon pre-dilatation in the treatment of severe carotid artery stenosis.
- Authors
SAHIN, M.; YAZICIOGLU, M. V.; ACAR, G.; DEMIR, S.; KALKAN, M. E.; OZKAN, B.; ALICI, G.; AKGUN, T.; AKCAKOYUN, M.; BOZTOSUN, B.
- Abstract
AIM: To assess early outcome of predilatation prior stenting of severe carotid artery stenosis and to evaluate early major adverse cardiovascular and cerebral events (MACCE). P PA AT TI IE EN NT TS S AND METHODS: The study group consisted of 265 consecutive patients (200 males, 65 female, mean age 66.7 ± 8.6 years) in whom 275 percutaneous transluminal angioplasty (PTA) procedures of carotid arteries were performed. Staged carotid stenting was performed in patients with bilateral carotid stenosis. Neuroprotection with a distal protection device was used in all cases. The patients were divided into two groups: direct carotid stent implantation without previous pre-dilation was performed in 233 patients (direct stenting group) and predilatation was performed in 42 patients (predilatation group). Early events were recorded and analyzed subsequently. RESULTS: We treated 275 carotid stenoses and the stent was implanted in all patients. Ten patients (3.7%) were treated by staged carotid artery stenting (CAS) due to bilateral carotid artery disease. The technical success rate was 97.1%. During 1-month follow-up, the prevalence of primary endpoint was 2.18%. The prevalence of MACCE at 30 days was higher in the predilatation group (2.4% vs. 2.1%; p = 0.924). Also periprocedural rate of hypotension was higher in predilatation group (7.1% vs. 1.7%; p = 0.04). CONCLUSIONS: Balloon predilatation prior to stenting can be performed to treat severe carotid artery stenosis with acceptable periprocedural complication rate.
- Subjects
CAROTID artery stenosis; ARTERIAL dilatation; TRANSLUMINAL angioplasty; CARDIOVASCULAR diseases; SURGICAL stents
- Publication
European Review for Medical & Pharmacological Sciences, 2013, Vol 17, Issue 6, p788
- ISSN
1128-3602
- Publication type
Article