Diabetes does not affect outcome of symptomatic carotid stenosis treated with endovascular techniques
| Autor: | Aida Lago, Ara Bermejo, Víctor Vázquez-Añón, Jose Ignacio Tembl, Esperanza Mainar, Vera Parkhutik, Fernando Aparici |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Risk Assessment Carotid angioplasty Risk Factors Angioplasty Internal medicine Diabetes mellitus Cause of Death Diabetes Mellitus Medicine Humans Carotid Stenosis cardiovascular diseases Cause of death Aged Retrospective Studies Carotid revascularization Aged 80 and over medicine.diagnostic_test business.industry Endovascular Procedures Retrospective cohort study Magnetic resonance imaging Middle Aged equipment and supplies medicine.disease Magnetic Resonance Imaging Stroke Stenosis Treatment Outcome Neurology Cardiology Female Neurology (clinical) business |
| Zdroj: | European neurology. 69(5) |
| ISSN: | 1421-9913 |
| Popis: | Background: The influence of diabetes on carotid revascularization techniques is controversial, with few data regarding angioplasty and stenting (CAS). Our purpose was to analyze whether its presence constitutes a risk factor for poor outcome of patients with carotid stenosis treated with CAS. Methods: We compared 30-day and long term morbidity and mortality, as well as restenosis rates, of non diabetic and diabetic patients with symptomatic carotid stenosis treated with endovascular techniques. Results: 318 consecutive patients, 116 (36.5%) of them diabetics, were followed for a median of 56 months. Cumulative 30-day stroke, ischemic cardiopathy and death rate was 4% for non diabetics and 5.2% for diabetics (non significant). Long term stroke and mortality rate was 26.4% for the first group and 34.3% for the second (non significant). The most frequent causes of death were myocardial infarction (17.5% non diabetics, 44% diabetics, p = 0.04), ischemic stroke (12.5% non diabetics, 4% diabetics, non significant) and cancer (30% non diabetics, 16% diabetics, non significant). Twelve patients (6.4%) had restenosis ≥50%, 5.9% non diabetic, 7.4% diabetic, also without statistical significance. Conclusions: In our series, endovascular treatment is both efficient and safe in diabetic patients with symptomatic carotid stenosis; therefore, the presence of diabetes mellitus did not increase the risks linked to CAS procedure. |
| Databáze: | OpenAIRE |
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