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KMID : 1005420070090040271
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Journal of Cerebrovascular and Endovascular Neurosurgery
2007 Volume.9 No. 4 p.271 ~ p.276
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Thirty-day Clinical Outcomes of Carotid Artery Stenting Patients with Symptomatic and Asymptomatic Carotid Artery Stenosis: Clinical Research
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Sung Dong-Yeun
Yu Jang-Sun
Won Yu-Sam
Kwon Young-Jun
Yang Jae-Young
Choi Chun-Sik
Kim Yong-Bum
Kim Byung-Moon
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Abstract
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Objective: Recently, carotid artery stenting (CAS) has become as the first choice of treatment for carotid artery stenosis. Although there are many differences in the outcomes of patients receiving stents among many different study groups, some reports suggest that stenting can be performed with periprocedural complication rates similar to those of a carotid endarterectomy (CEA). In this study, we investigated 39 cases of CAS.
Methods: From May 2003 to March 2007, 39 patients undergoing CAS were reviewed. We analyzed the 30-day morbidity/mortality rate. A minor stroke was defined as a new neurological deficit that either resolved completely within 30 days or increased the NIH Stroke Scale by< or =3. A major stroke was defined as a new neurological deficit that persisted for 30 days and increased the NIH Stroke Scale by> or =4.
Results: Among 39 patients, a minor stroke was noted in three patients (7.7%), and there were no major strokes and deaths. The overall 30-day stroke and death rate was 7.7% (n = 3).
Conclusion: With the evolution and maturation of equipment and technique, carotid angioplasty and stenting (CAS) is increasingly being used for the treatment of carotid artery disease.
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KEYWORD
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Carotid artery, Stent, Angioplasty, Carotid endarterectomy
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