Stent placement for the treatment of occlusive atherosclerotic carotid artery disease in patients with concomitant coronary artery disease

2002 ◽  
Vol 96 (3) ◽  
pp. 490-496 ◽  
Author(s):  
Demetrius K. Lopes ◽  
Robert A. Mericle ◽  
Giuseppe Lanzino ◽  
Ajay K. Wakhloo ◽  
Lee R. Guterman ◽  
...  
Keyword(s):  
New York ◽  
Coronary Artery ◽  
Carotid Artery ◽  
Stent Placement ◽  
Carotid Artery Disease ◽  
Heart Association ◽  
Content Type ◽  
Carotid Artery Stent ◽  
Artery Disease ◽  
Fine Print

Object. The authors report their experience with carotid artery stent placement (CASP) in patients with concomitant carotid artery (CA) and coronary artery (CorA) diseases. Methods. In a review of 320 consecutive patients who underwent CASP, the authors identified 49 with severe CorA disease in addition to significant CA stenosis, who had undergone CASP before planned CorA bypass grafting (CorABG). The average age of these 49 patients was 68 years. In 39 patients (80%) the New York Heart Association functional classification grade was IV and in 10 the grade was III. In 26 patients 50% or greater stenosis of the left main CorA was found. Seventeen patients (35%) suffered from either significant hemodynamic contralateral CA stenosis (> 60% stenosis; eight patients) or contralateral CA occlusion (nine patients). Sixteen patients (33%) had symptomatic CA disease. No cerebrovascular events occurred during CorABG. Four patients (8%) died of cardiac arrest and one patient (2%) suffered a major stroke within 30 days after the CorABG procedure. No patient experienced clinically significant recurrent CA stenosis during the study period (average clinical follow-up period 27 months). Conclusions. Carotid artery stent placement should be considered as an alternative for the management of concomitant CA and CorA diseases. These preliminary results support the feasibility and durability of CASP in the population studied.

The scotomata of carotid artery disease as I remember them

1973 ◽  
Vol 39 (3) ◽  
pp. 390-393 ◽  
Author(s):  
Francis Murphey
Keyword(s):  
Carotid Artery ◽  
Personal Experience ◽  
Carotid Artery Disease ◽  
Atheromatous Plaque ◽  
Content Type ◽  
Artery Disease ◽  
Fine Print

✓ The author relates his personal experience with scotomata, in particular as a forewarning of occlusion of the carotid artery in the neck. His hypotheses that the phenomena were due at least in part to flecks of atheromatous plaque was substantiated by the subsequent surgical findings when such a plaque was successfully removed and the scotomata ceased.

Ultrasonic diagnosis of carotid artery disease

1971 ◽  
Vol 35 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Jørgen Kvist Kristensen ◽  
Mogens Eiken ◽  
Fritz von Wowern
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Disease ◽  
Ultrasonic Diagnosis ◽  
Diagnostic Aid ◽  
Content Type ◽  
Oscilloscope Screen ◽  
Artery Disease ◽  
Fine Print

✓ Ultrasonic echoes from an artery, registered on an oscilloscope screen as vertical deflections from a horizontal baseline, exhibit pulse-synchronous displacements on the x-axis as well as variations in amplitude. The visualization of these echo movements can constitute the basis for an evaluation of arterial conditions comparable to palpation of the pulse but has the advantage of being applicable to arteries that cannot be palpated. The method has been applied to the internal carotid artery in 325 patients, and an evaluation of the method is given on the basis of a comparison with 166 angiograms of the artery. The method has proven to be a valuable diagnostic aid in studying patients suspected of having carotid artery disease.

Long-term prognosis and effect of endarterectomy in patients with symptomatic severe carotid stenosis and contralateral carotid stenosis or occlusion: results from NASCET

1995 ◽  
Vol 83 (5) ◽  
pp. 778-782 ◽  
Author(s):  
Andrew P. Gasecki ◽  
Michael Eliasziw ◽  
Gary G. Ferguson ◽  
Vladimir Hachinski ◽  
Henry J. M. Barnett ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Stenosis ◽  
Hazard Ratio ◽  
Content Type ◽  
Perioperative Morbidity ◽  
Artery Disease ◽  
Long Term Prognosis ◽  
Moderate Hazard ◽  
Fine Print

✓ The purpose of this study was to examine how the prognosis of patients who presented with a recent ischemic event referable to a 70% to 99% stenosis of one carotid artery (ipsilateral) was altered by stenosis and occlusion of the contralateral carotid artery. The benefit of performing carotid endarterectomy on the recently symptomatic artery, in the presence of contralateral artery disease, was also examined. A total of 659 patients were grouped into one of three categories according to the extent of stenosis in the contralateral carotid artery: less than 70% (559 patients), 70% to 99% (57 patients), and occlusion (43 patients). Strokes that occurred during the follow-up period were designated as ipsilateral if they arose from the same carotid artery as the symptom for which the patient had been entered into the study. Medically treated patients with an occluded contralateral artery were more than twice as likely to have had an ipsilateral stroke at 2 years than patients with either severe (hazard ratio: 2.36; 95% confidence interval (CI): 1.00–5.62) or mild-to-moderate (hazard ratio: 2.65; 95% CI: 1.43–4.90) contralateral artery stenosis. The perioperative risk of stroke and death was higher in patients with an occluded contralateral artery (4.0% risk) or mild-to-moderate (5.1% risk) contralateral stenosis. Regression analyses indicated that the results were not affected by other risk factors. An occluded contralateral carotid artery significantly increased the risk of stroke associated with a severely stenosed ipsilateral carotid artery. Despite higher perioperative morbidity in the presence of an occluded contralateral artery, the longer-term outlook for patients who had endarterectomy performed on the recently symptomatic, severely stenosed ipsilateral carotid artery was considerably better than for medically treated patients.

scholarly journals Is carotid artery disease responsible for perioperative strokes after coronary artery bypass surgery?

2010 ◽  
Vol 52 (6) ◽  
pp. 1716-1721 ◽  
Author(s):  
Yuebing Li ◽  
John Castaldo ◽  
Jan Van der Heyden ◽  
Herbert W.M. Plokker
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Carotid Artery Disease ◽  
Artery Bypass ◽  
Artery Disease

Patient presentation, angiographic features, and treatment of strangulation-induced dissection of the internal carotid artery

2000 ◽  
Vol 92 (3) ◽  
pp. 481-487 ◽  
Author(s):  
Adel M. Malek ◽  
Randall T. Higashida ◽  
Van V. Halbach ◽  
Christopher F. Dowd ◽  
Constantine C. Phatouros ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
Artery Dissection ◽  
Percutaneous Angioplasty ◽  
Consistent Finding ◽  
Content Type ◽  
Fine Print

✓ Domestic violence leading to strangulation by an abusive spouse can cause carotid artery dissection. This phenomenon is rare and has been described in only three previous instances. The authors present their management strategies in three additional cases.Three young women aged 24 to 43 years were victims of manual strangulation committed by their spouses 3 months to 1 year before presentation. Two of the patients suffered delayed cerebral infarctions before presentation and angiography demonstrated focal, mirror-image severe residual stenoses in the high-cervical internal carotid artery (ICA), which were characteristic of a healed chronic dissection; there was no evidence of fibromuscular dysplasia. One of these patients underwent unilateral percutaneous angioplasty with stent placement, and the other underwent bilateral percutaneous angioplasty. Both patients have recovered from their strokes and remain clinically stable at 8 and 20 months posttreatment, respectively. The third patient presented with bilateral ischemic frontal watershed infarctions resulting from an occluded left ICA and a severely narrowed right ICA. Given the extent of the established infarctions, this case was managed with a long-term regimen of anticoagulation medications, and the patient remains neurologically impaired.These cases illustrate the susceptibility of the manually compressed ICA to traumatic injury as a result of domestic violence. They identify bilateral symmetrical ICA dissection as a consistent finding and the real danger of delayed stroke as a consequence of strangulation. Endovascular therapy in which percutaneous angioplasty and/or stent placement are used can be useful in treating residual focal stenoses to improve cerebral perfusion and to lower the risk of embolic or ischemic stroke.

scholarly journals Progression of carotid artery disease could stratify a risk of coronary artery disease patients with type 2 diabetes

2018 ◽  
Vol 51 (1) ◽  
pp. 120-122 ◽  
Author(s):  
Marijan Bosevski ◽  
Pece Nikolovski ◽  
Lily Stojanovska ◽  
Vasso Apostolopoulos
Keyword(s):  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Carotid Artery ◽  
Carotid Artery Disease ◽  
Artery Disease

Effect of Beta-Blocker Therapy in Patients With Coronary Artery Disease in New York Heart Association Classes II and III

1998 ◽  
Vol 81 (12) ◽  
pp. 1455-1460 ◽  
Author(s):  
Moti Haim ◽  
Avraham Shotan ◽  
Valentina Boyko ◽  
Henrietta Reicher-Reiss ◽  
Michal Benderly ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
New York ◽  
Coronary Artery ◽  
Beta Blocker ◽  
Heart Association ◽  
Blocker Therapy ◽  
Beta Blocker Therapy ◽  
New York Heart Association ◽  
Artery Disease
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