Debette S, Hénon H, Gauvrit JY, Haulon S, Mackowiak-Cordoliani MA, Gautier C, Deplanque D, Lucas C, Leclerc X, Koussa M, Pruvo JP, Leys D. Angioplasty and stenting for high-grade internal carotid artery stenosis: safety study in 39 selected patients.
Cerebrovasc Dis 2003;
17:160-5. [PMID:
14707416 DOI:
10.1159/000075785]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2003] [Accepted: 07/08/2003] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND
Carotid angioplasty and stenting (CAS) is sometimes used as an alternative to surgery, despite the lack of evidence for its safety and efficacy.
METHOD
Over a 33-month period, 39 consecutive patients with a stenosis >/=70% underwent CAS (4 in a randomized trial and 35 because of contra-indications for surgery).
RESULTS
In 5 patients (13%; 95% CI: 3-23), a major complication occurred (3 disabling ischaemic strokes, 1 myocardial infarction, 1 acute interstitial nephropathy). In 7 patients (18%; 95% CI: 6-30), a minor complication occurred (5 transient ischaemic attacks, 1 transient confusional state, 1 non-disabling ischaemic stroke).
CONCLUSION
CAS cannot be considered as a routine procedure and should be restricted to high-risk patients unfit for surgery.
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