Periprocedural Outcomes of Carotid Artery Stenting in Elderly Patients

Autor: Hiroyuki Yamamoto, Seisuke Tanigawa, Yoshikazu Nakahara, Masataka Nanto, Michiko Takado, Yudai Goto, Takahiro Ogawa
Rok vydání: 2017
Předmět:
Male
medicine.medical_specialty
Time Factors
Carotid arteries
medicine.medical_treatment
Carotid endarterectomy
030204 cardiovascular system & hematology
Asymptomatic
Severity of Illness Index
Embolic Protection Devices
03 medical and health sciences
0302 clinical medicine
Risk Factors
Internal medicine
Severity of illness
medicine
Humans
Carotid Stenosis
cardiovascular diseases
Myocardial infarction
Adverse effect
Stroke
Aged
Retrospective Studies
Aged
80 and over
business.industry
Rehabilitation
Endovascular Procedures
Age Factors
Retrospective cohort study
Middle Aged
medicine.disease
Stenosis
Treatment Outcome
Asymptomatic Diseases
Cardiology
Surgery
Female
Stents
Neurology (clinical)
medicine.symptom
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Dyslipidemia
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 27(1)
ISSN: 1532-8511
Popis: Background Carotid artery stenting has emerged as an alternative to carotid endarterectomy especially in patients with high risk of carotid endarterectomy. Older age (≥80 years old) was recognized as one of the high risk factors of carotid endarterectomy. However, the association between older age and increased risk of adverse events for carotid artery stenting has been reported. The purpose of this study was to evaluate the association between age and periprocedural outcomes after carotid artery stenting. Methods A total of 126 symptomatic and asymptomatic cases of carotid artery stenosis were treated with tailored carotid artery stenting. The type of stents and embolic protection devices were chosen according to clinical and morphologic characteristics of the patients. Procedural, imaging, and clinical outcomes were retrospectively assessed and compared between the elderly patients group (≥80 years old) and the non-elderly patients group ( Results Clinical and morphologic characteristics except for dyslipidemia were not significantly different between the 2 groups. Periprocedural neurologic complications were not significantly different between the 2 groups ( P = .095). Minor stroke occurred more frequently in the elderly patients group ( P = .021). However, the frequency of major stroke was not significantly different between the 2 groups ( P = 1). Presence of new ischemic lesions on postprocedural examination was not significantly different between the 2 groups ( P = .84). Myocardial infarction and death did not occur in either group. Conclusions Carotid artery stenting can be performed safely in elderly patients, comparable with non-elderly patients.
Databáze: OpenAIRE
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