Endovascular treatment of carotid artery stenosis: retrospective study of 79 patients treated with stenting and angioplasty with and without cerebral protection devices

Arquivos de Neuro-Psiquiatria

Eduardo Noda Kihara²  Mario Sergio Duarte Andrioli²  Eliova Zukerman²  Mario Fernando Prieto Peres²  Pedro Paulo Porto Júnior²  Paulo Hélio Monzillo²  Ivan Hideyo Okamoto²  Ayrton Roberto Massaro²  José Carlos Zirretta¹ 

[1] ,Hospital Israelita Albert Einstein Serviço de Neurorradiologia Intervencionista

关键词: carotid artery stent;    carotid artery atherosclerosis;    endovascular therapy;    stent artéria carotída;    aterosclerose carotídea;    terapêutica endovascular;   

DOI  :  10.1590/S0004-282X2004000600015

来源: SciELO

【 摘 要 】

We evaluate the results of stenting and angioplasty on carotid bifurcation stenotic lesions using protection systems, emphasizing the indications and technical aspects. Seventy-nine patients, mean age 64.5 years were treated from February,1998 to March, 2003. All patients were included in NASCET study criteria. Forty three patients were treated without the protection systems and thirty six were treated with carotid protection filtering system (Angioguard, EPI). Technical success and 6-months carotid Doppler ultrasound follow-up showing stent patency were achieved in all patients. One major stroke and one death due to intracranial reperfusion bleeding occurred in patients treated without cerebral protection devices. Only one patient presenting hyper perfusion syndrome improving after 7 days, was found in the group treated with the cerebral protection filter mechanism, no other neurologic symptom or death occured in this group. Stenting and angioplasty with protection systems for thromboembolic debris is a safe endovascular method to treat stenotic lesions in the carotid bifurcation with low morbidity and mortality.

【 授权许可】

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