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- Title
Early treatment after a symptomatic event is not associated with an increased risk of stroke in patients undergoing carotid stenting.
- Authors
Gröschel, K.; Knauth, M.; Ernemann, U.; Pilgram, S. M.; Schnaudigel, S.; Kastrup, A.
- Abstract
A recently symptomatic carotid artery stenosis carries a high risk of subsequent ischaemic events and thus requires rapid treatment. We investigated the influence of the time delay between the last symptomatic event of a carotid stenosis and subsequent carotid artery stenting (CAS) with respect to the combined 30-day outcome of stroke and death. In a group of 320 patients undergoing CAS the median delay before the intervention was 19 days (interquartile range 10–36) and the combined 30-day complication rate was 8.4%. Time delay was not significantly associated with peri-procedural complications, regardless of whether this variable was dichotomized (<14 days and ≥14 days), separated into interquartile ranges or analysed as a continuous variable. Our results indicate that early CAS is not associated with an increased complication rate in patients with a recently symptomatic carotid stenosis. Thus, if CAS has been selected as the treatment modality for a patient, it should be performed as soon as possible to maximize the benefit of the intervention in reducing the risk of stroke.
- Subjects
CEREBROVASCULAR disease; CAROTID artery stenosis; PATIENTS; ANGIOPLASTY; DISEASE risk factors; ISCHEMIA
- Publication
European Journal of Neurology, 2008, Vol 15, Issue 1, p62
- ISSN
1351-5101
- Publication type
Article
- DOI
10.1111/j.1468-1331.2007.02002.x