|
KMID : 1103720130690020093
|
|
Journal of the Korean Society of Radiology
2013 Volume.69 No. 2 p.93 ~ p.98
|
|
|
Outcomes of Emergent Carotid Artery Stenting within 6 Hours of Symptom Onset in Patients with Acute Ischemic Stroke
|
|
Jeong Won-Gi
Yoon Woong
Yim Nam-Yeol
Jeong Min-Young
Jung Se-Hee
Kang Heoung-Keun
|
|
|
Abstract
|
|
|
|
Purpose: To investigate clinical outcomes following the emergent carotid artery stenting for treatment of acute ischemic stroke. Materials and Methods: Twenty-eight consecutive patients with acute stroke due to atherosclerotic steno-occlusive diseases of extracranial internal carotid artery underwent emergent carotid artery stenting. Of these, 23 patients had tandem intracranial arterial occlusions. Results: Extracranial carotid stenting was successful in all patients. From the 13 patients who underwent intracranial recanalization procedures, successful recanalization occurred in 84.6% (11/13). 57% of patients (16/28) had a good clinical outcome (modified Rankin Scale 0-2) after 3 months. Patients with successful intracranial/extracranial recanalization had a significantly higher rate of good outcome than those without recanalization after 3 months (75% vs. 33%, p = 0.027). Patients without intracranial tandem occlusions had a more favorable clinical outcome than those with intracranial tandem occlusions (100% vs. 48%, p = 0.033). Symptomatic intracerebral hemorrhage occurred in one patient (3.6%). Mortality rate was 0% (0/28) after 3 months. Conclusion: Emergent carotid artery stenting in setting of acute stroke was a safe and effective treatment modality. Successful recanalization (extracranial and intracranial) and absence of intracranial tandem occlusion are significantly associated with a good outcome for our cohort of patients whom undergone emergent carotid artery stenting.
|
|
|
KEYWORD
|
|
|
Acute Stroke, Angioplasty and Stenting, Internal Carotid Artery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|