[Complications within 30 days following placement of a carotid stent with cerebral protection in patients with considerable symptomatic carotid stenosis; Erasmus MC, Rotterdam, 1999-2004].

Abstract

OBJECTIVE:

To describe the complications that occur within 30 days following the placement of a stent in the carotid artery in patients with considerable symptomatic carotid stenosis.

DESIGN:

Retrospective.

METHOD:

Data were collected on 98 patients who received a carotid stent due to symptomatic carotid stenosis of > or = 70% of the lumen at the Erasmus MC, Rotterdam, the Netherlands, in the years 1999-2004. A filter, distal occlusion balloon or the Parodi anti-embolism system was used to prevent cerebral embolism. Outcome measures were complications within 30 days following intervention.

RESULTS:

Four patients were excluded in the period between diagnosis and stenting. Major complications occurred in 3 patients: 1 died due to cerebral haemorrhage and 2 experienced cerebral infarction. Transient neurological complications occurred in 4 patients who recovered completely. Dissection of the renal artery occurred in 1 patient, which necessitated a stent. Vascular damage of the internal carotid artery was not observed in any patient. The 3 major adverse events and 3 of the 4 minor adverse events occurred in the first 47 patients treated. None of the last 47 patients treated developed major adverse events.

• Authors: J D Zindler, J M Hendriks, P J Koudstaal, P M T Pattynama, M R H M van Sambeek, L C van Dijk
• Journal: Nederlands tijdschrift voor geneeskunde (Ned Tijdschr Geneeskd) Vol. 150 Issue 13 Pg. 730-4 (Apr 01 2006) ISSN: 0028-2162 [Print] Netherlands
• Vernacular Title: Complicaties in de eerste 30 dagen na plaatsing van een carotisstent met cerebrale bescherming bij pati nten met een aanzienlijke, symptomatische carotisstenose; Erasmus MC, Rotterdam, 1999-2004.
• PMID: 16623347 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Carotid Stenosis (therapy)
• Female
• Humans
• Intracranial Embolism (prevention & control)
• Male
• Postoperative Complications (epidemiology)
• Retrospective Studies
• Stents (adverse effects)
• Treatment Outcome