Evolving indications for and early results of carotid artery stenting.

Abstract

BACKGROUND:

While carotid endarterectomy continues to be the gold standard of treatment for most patients with significant carotid artery disease, there are cases where lesion or anatomy-related factors create situations less than ideal for conventional surgery. Other therapeutic modalities, such as endoluminal stenting, may represent reasonable options for such patients.

METHODS:

Thirty-three patients with 70% or greater internal carotid artery lesions were treated by endovascular stent placement from July 1994 through June 1996. Indications included transient ischemic attacks in 20 and previous stroke in 4; and 9 were asymptomatic.

RESULT:

Stents were placed successfully in all instances. Mortality and stroke rates were zero. All patients remained asymptomatic during follow-up (mean 8 months), and stent patency by duplex ultrasound has been 100%. A single instance of intrastent restenosis has been observed.

CONCLUSIONS:

Endoluminal stenting is an investigational technique of unproven efficacy and long-term durability. Yet it appears technically feasible, and possibly reasonable, as an alternate option for cases unfavorable for standard surgery.

• Authors: F J Criado, E Wellons, N S Clark
• Journal: American journal of surgery (Am J Surg) Vol. 174 Issue 2 Pg. 111-4 (Aug 1997) ISSN: 0002-9610 [Print] United States
• PMID: 9293823 (Publication Type: Journal Article)

Topics

• Carotid Stenosis (complications, surgery)
• Contraindications
• Endarterectomy, Carotid
• Female
• Follow-Up Studies
• Humans
• Male
• Patient Selection
• Stents
• Treatment Outcome