Impact of Carotid Artery Angioplasty and Stenting on Management of Recurrent Carotid Artery Stenosis
Autor: | Glenn R. Jacobowitz, Thomas S. Riles, Uri Greenwald, Caron B. Rockman, Patrick J. Lamparello, Mark A. Adelman, Matthew M. Nalbandian, Thomas S. Maldonado, Danielle Bajakian, Roninie M Landis, Paul J. Gagne |
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Rok vydání: | 2004 |
Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors Carotid Artery Common medicine.medical_treatment New York Balloon Asymptomatic Blood Vessel Prosthesis Implantation Postoperative Complications Text mining Predictive Value of Tests Recurrence Risk Factors Internal medicine Angioplasty medicine Humans Carotid Stenosis Stroke Retrospective Studies Endarterectomy Carotid business.industry General Medicine Perioperative Middle Aged medicine.disease Surgery Stenosis Treatment Outcome Cardiology Female Stents medicine.symptom Cardiology and Cardiovascular Medicine business Angioplasty Balloon Follow-Up Studies Abdominal surgery |
Zdroj: | Annals of Vascular Surgery. 18:151-157 |
ISSN: | 0890-5096 |
DOI: | 10.1007/s10016-004-0004-y |
Popis: | Citing the higher perioperative risk of redo carotid surgery, balloon angioplasty and stenting of the carotid artery (CAS) has been advocated for recurrent carotid stenosis (RCS). To examine the impact of CAS on the management and outcome of recurrent stenosis, a retrospective review of a prospectively compiled database was performed. From a registry of patients treated for carotid disease, 105 procedures were performed from 1992 to 2002 for RCS. For comparison, two study groups were examined. Time I consisted of 77 reoperations performed through 1998, before CAS was introduced at our institution. Time II included 12 reoperations and 16 CAS procedures performed for RCS from 1999 through 2002. Using perioperative stroke as a measure of outcome, the results for time II were poorer than for time I (7.2% vs. 5.2%, p = NS). Overall, the risk of perioperative stroke was the same for reoperation (5/89) and CAS (1/16) (5.6% vs. 6.3%, p = NS). Although not statistically significant, there was a trend toward a higher risk of perioperative stroke for patients treated with reoperation during the latter time period (8.3% vs. 5.2%, p = NS). This probably relates to the finding that during time II, CAS was most likely to be used in asymptomatic patients (68.6% vs. 41.7%, p = NS) with early ( |
Databáze: | OpenAIRE |
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