Evolution of surgical treatment of carotid artery stenosis: a single center observational study

2019 ◽  
Vol 120 (5) ◽  
pp. 301-309
Author(s):  
Gilles Soenens ◽  
Nathalie Moreels ◽  
Frank Vermassen ◽  
Veerle De Herdt ◽  
Dimitri Hemelsoet ◽  
...  
2020 ◽  
Author(s):  
Joonho Chung ◽  
Jung-Jae Kim ◽  
Yong Bae Kim ◽  
Sang Hyun Suh ◽  
Kyung-Yul Lee

Abstract Background Our group previously described the protocol-based decision for choosing the proper surgical treatment option for carotid artery stenosis. The objective of this study is to describe our experiences of using this scoring protocol in the selection of endarterectomy or stenting for carotid artery stenosis. Methods Between October 2014 and March 2018, the scoring protocol was applied to a total of 105 consecutive patients. Eighty (76.2%) patients had symptomatic stenosis ≥50%, and 25 (23.8%) patients had asymptomatic stenosis ≥80%. We also speculated about how effectively the protocol worked in the real clinical setting. Results Stenting was performed in 73 patients and endarterectomy in 32 patients. Overall, 98 (93.3%) patients were treated according to the protocol, while the protocol was violated in seven (6.7%) patients. Sixty-one (58.1%) patients received treatments that were decided by the protocol. There were 37 (35.2%) patients who had the same score for both treatment options. Among these patients, 28 patients underwent stenting and nine patients underwent endarterectomy. In the stenting cases, 90.4% of the patients followed the protocol and violations occurred in 9.6%. In the endarterectomy cases, all of the patients followed the protocol. Overall, one patient had a procedure-related complication without morbidity. During the 12-month follow-ups, there were no restenoses or major strokes. Minor strokes were diagnosed in three (2.8%) patients. Conclusion In patients with carotid artery stenosis, stenting and endarterectomy should be considered simultaneously together, not against each other. Our scoring protocol can be used to weigh these options and applied in clinical practice.


2015 ◽  
Vol 43 (3) ◽  
pp. 175-180
Author(s):  
Kohkichi HOSODA ◽  
Atsushi FUJITA ◽  
Hidehito KIMURA ◽  
Masaaki KOHTA ◽  
Nobuyuki AKUTSU ◽  
...  

2008 ◽  
Vol 47 (2) ◽  
pp. 350-355 ◽  
Author(s):  
Peter A. Ringleb ◽  
Gilles Chatellier ◽  
Werner Hacke ◽  
Jean-Pierre Favre ◽  
Jean-Michel Bartoli ◽  
...  

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