Elective carotid artery stenting with distal embolic protection

Durmaz H., Ergun O., Birgi E., Dayanir H., Conkbayir I., Hekimoglu S.

NEUROLOGY ASIA, vol.25, no.3, pp.253-262, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 3
  • Publication Date: 2020
  • Journal Name: NEUROLOGY ASIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
  • Page Numbers: pp.253-262
  • Keywords: Carotid stenosis, embolic protection devices, endovascular procedures, stents, ISCHEMIC-STROKE, ENDARTERECTOMY, ANGIOPLASTY, SUBTYPES, STENOSIS, DEVICES
  • Lokman Hekim University Affiliated: No

Abstract

Objective: It is aimed to present our experience in carotid artery stenting with attention to the patient selection, technique, success rate, perioperative complications, and efficacy. Methods: Patients presented with carotid stenosis treated by stenting were included. Symptomatic patients were defined as having a history of transient ischemic attack or stroke in the last 6 months. Patients with symptomatic carotid stenosis of at least 50% or asymptomatic carotid stenosis of at least 70% detected by catheter angiography were accepted for treatment. Distal embolic protection devices were used in all patients. Technical success was defined as the luminal patency at least 70%. Results: The study consisted of 94 patients with 98 procedures and the mean age was 66.38 +/- 11.13 years. The mean stenosis rate was 74.52 +/- 13.44%. A total of 109 stents were used in 97 procedures, and closed-cell design was used in 87.2% versus open-cell design in 12.8%. Technical success and complication rate were 98.9% and 8.2%, respectively. The mean follow-up period was 14.92 +/- 10.76 months.