Percutaneous transluminal angioplasty and stenting for carotid artery stenosis

1997 ◽  
Author(s):  
F Crawley ◽  
MM Brown
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

scholarly journals Percutaneous transluminal angioplasty and stenting for recurrent carotid artery stenosis

1998 ◽  
Vol 5 (6) ◽  
pp. E7
Author(s):  
Giuseppe Lanzino ◽  
Robert A. Mericle ◽  
Demetrius K. Lopes ◽  
Ajay K. Wakhloo ◽  
Lee R. Guterman ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Cardiac Complications ◽  
Neurological Event ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

Percutaneous transluminal angioplasty (PTA) and stenting has recently been proposed as an alternative to surgical reexploration in patients with recurrent carotid artery stenosis following endarterectomy. The authors retrospectively reviewed their experience after performing 25 procedures in 21 patients to assess the safety and efficacy of PTA with or without stenting for carotid artery restenosis. The mean interval between endarterectomy and the endovascular procedure was 57 months (range 8-220 months). Seven arteries in five patients were treated by PTA alone (including bilateral procedures in one patient and repeated angioplasty in the same vessel in another). Early suboptimum results and recurrent stenosis in some of these initial cases prompted the authors to combine PTA with stenting in the treatment of 18 arteries over the past 3 years. No major periprocedural deficits (neurological or cardiac complications) or death occurred. There was one periprocedural transient neurological event. A pseudoaneurysm of the femoral artery (at the access site) required surgical repair. In the 16 patients who each underwent at least 6 months of follow-up review, no neurological events ipsilateral to the treated artery had occurred after a mean follow-up period of 27 months (range 6-57 months). Three of five patients who underwent PTA alone developed significant (> 50%) asymptomatic restenoses that required repeated angioplasty in one and PTA with stenting in two patients. Significant restenosis (55%) was observed in only one of the vessels treated by combined angioplasty with stenting. Endovascular PTA and stenting of recurrent carotid artery stenosis is both technically feasible and safe and has a satisfactory midterm patency. This procedure can be considered a viable alternative to surgical reexploration in patients with recurrent carotid artery stenosis.

Carotid Artery Angioplasty and Stenting as a First-choice Revascularization Therapy for Cervical Carotid Artery Stenosis

1995 ◽  
Vol 8 (6) ◽  
pp. 211-213
Author(s):  
J. Satomi ◽  
J. Moroi ◽  
M. Sasaki ◽  
M. Sawada ◽  
A. Suzuki ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Transluminal Angioplasty ◽  
Thromboembolic Complication ◽  
Artery Stenosis ◽  
Stent Deployment ◽  
First Choice ◽  
Revascularization Therapy ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

We examined the patients with cervical carotid artery stenosis (>70%) treated by carotid artery angioplasty and stenting (CAS) as a first-choice direct revascularization therapy. The patients consisted of 45 men and seven women; their mean age was 70.4 years (range, 54–84 yr), with 60 cervical carotid stenosis (39 symptomatic and 21 asymptomatic). Sixty procedures resulted in successful stent deployment in 55 cases, percutaneous transluminal angioplasty (PTA) only without stenting in three, and failed angioplasty due to inaccessibility in two. Morbidity was seen in three cases associated with thromboembolic complication. Instent restenosis was observed in one case, which was successfully treated with subsequent PTA. CAS seems reasonable treatment for cervical carotid artery stenosis, although further accumulation of the cases will be needed to evaluate the efficacy between CAS and carotid endarterectomy.

scholarly journals Percutaneous transluminal angioplasty for cervical carotid artery stenosis

Nosotchu ◽  
1985 ◽  
Vol 7 (2) ◽  
pp. 142-149
Author(s):  
Nobumasa Kuwana ◽  
Yasuhiko Mochimatsu ◽  
Hideyo Fujino ◽  
Akihito Saito ◽  
Nobuaki Mashimo
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Percutaneous Transluminal

scholarly journals Treatment of Cervical Carotid Artery Stenosis

2004 ◽  
Vol 10 (2_suppl) ◽  
pp. 27-30 ◽  
Author(s):  
S. Yoshimura
Keyword(s):  
Carotid Artery ◽  
Medical Treatment ◽  
Carotid Endarterectomy ◽  
Carotid Artery Stenosis ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Current Status ◽  
Percutaneous Transluminal

As treatment for cervical carotid artery stenosis, medical treatment, carotid endarterectomy (CEA), and percutaneous transluminal angioplasty (PTA) with/without stenting are known. In this report, we review the history and current status of these treatments. Comparison between CEA and PTA/stenting is further discussed based on recent clinical reports and evidence.

scholarly journals Carotid Artery Angioplasty and Stenting as a First-Choice Revascularization Therapy for Cervical Carotid Artery Stenosis

2006 ◽  
Vol 12 (1_suppl) ◽  
pp. 211-213
Author(s):  
J. Satomi ◽  
J. Moroi ◽  
M. Sasaki ◽  
M. Sawada ◽  
A. Suzuki ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Transluminal Angioplasty ◽  
Thromboembolic Complication ◽  
Artery Stenosis ◽  
Stent Deployment ◽  
First Choice ◽  
Revascularization Therapy ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

We examined the patients with cervical carotid artery stenosis (>70%) treated by carotid artery angioplasty and stenting (CAS) as a first-choice direct revascularization therapy. The patients consisted of 45 men and seven women; their mean age was 70.4 years (range, 54–84 yr), with 60 cervical carotid stenosis (39 symptomatic and 21 asymptomatic). Sixty procedures resulted in successful stent deployment in 55 cases, percutaneous transluminal angioplasty (PTA) only without stenting in three, and failed angioplasty due to inaccessibility in two. Morbidity was seen in three cases associated with thromboembolic complication. Instent restenosis was observed in one case, which was successfully treated with subsequent PTA. CAS seems reasonable treatment for cervical carotid artery stenosis, although further accumulation of the cases will be needed to evaluate the efficacy between CAS and carotid endarterectomy.

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