Changes on Cognitive Function after Carotid Artery Stenting in Patients with Severe Carotid Artery Stenosis: A Prospective, 3 Months Follow-up Study

Object The purpose of this study was to evaluate and compare the long-term effects of carotid endarterectomy (CEA) and carotid artery stenting (CAS) on blood pressure (BP). Methods Between January 2003 and December 2009, 134 patients underwent 145 procedures for treatment of carotid artery stenosis. Patients with at least 1 year of clinical and radiographic follow-up after treatment were included in this study. A total of 102 patients met this criterion and were placed in the CEA group (n = 59) or the CAS group (n = 43) according to their treatment. The percentage change in BP decrement and the number of patients with a normotensive BP were evaluated and compared between the groups. Results There were no significant differences between the groups with regard to baseline characteristics. Compared with the pretreatment BP, the follow-up BPs were significantly decreased in both groups. At the 1-year followup, the percentage change in the BP decrement was greater in the CAS group (percentage change: systolic BP 9.6% and diastolic BP 12.8%) than in the CEA group (percentage change: systolic BP 5.9% [p = 0.035] and diastolic BP = 8.1% [p = 0.049]), and there were more patients with a normotensive BP in the CAS group (46.5%) than in the CEA group (22.0%, p = 0.012). Conclusions Both CEA and CAS have BP-lowering effects. Carotid artery stenting seems to have a better effect than CEA on BP at the 1-year follow-up.

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E-014 Effect of carotid artery stenting on cognitive function in patients with carotid artery stenosis: one year outcomes

Journal of NeuroInterventional Surgery ◽

10.1136/jnis.2010.003251.14 ◽

2010 ◽

Vol 2 (Suppl_1) ◽

pp. A30-A31

Author(s):

A. Turk ◽

K. Pulfer ◽

P. Turski ◽

D. Niemann ◽

B. Aagaard-Kienitz ◽

...

Keyword(s):

Cognitive Function ◽

Carotid Artery ◽

Carotid Artery Stenosis ◽

Carotid Artery Stenting ◽

Artery Stenosis ◽

One Year

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EFFECT OF AGGRESSIVE LIPID THERAPY ON PROGRESSION OF CAROTID ARTERY STENOSIS: A LONGTERM FOLLOW UP STUDY

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(15)61487-5 ◽

2015 ◽

Vol 65 (10) ◽

pp. A1487

Author(s):

Zubair Shah ◽

Rashmi Thapa ◽

Mashood Wani ◽

Suresh Sharma ◽

Taylor Myers ◽

...

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenosis ◽

Artery Stenosis ◽

Follow Up Study

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Comparative outcomes of carotid artery stenting for asymptomatic and symptomatic carotid artery stenosis: a single-center prospective study

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2014-011437 ◽

2014 ◽

Vol 8 (2) ◽

pp. 126-129 ◽

Cited By ~ 2

Author(s):

Dapeng Mo ◽

Bo Wang ◽

Ning Ma ◽

Feng Gao ◽

Zhongrong Miao

Keyword(s):

Myocardial Infarction ◽

Carotid Artery ◽

Carotid Artery Stenosis ◽

Carotid Artery Stenting ◽

Artery Stenosis ◽

Acute Thrombosis ◽

Symptomatic Carotid ◽

Long Term Follow Up

BackgroundCarotid artery stenting (CAS) for symptomatic carotid artery stenosis (SCS) has been proved to be safe and effective in many randomized controlled trials, but the safety and efficacy of CAS for asymptomatic carotid artery stenosis (ACS) is not clear.ObjectiveTo prospectively compare the outcomes of CAS between patients with ACS and SCS.Methods402 consecutive patients, 233 with ACS and 169 with SCS, underwent CAS. The primary outcome was a composite of death, stroke or myocardial infarction at 30 days and during the follow-up period. Procedural success and complications such as hyperperfusion, sinus-cardiac reflex, gastrointestinal hemorrhage, myocardial infarction, acute thrombosis, and vagus nerve reflex were also compared between the ACS and SCS groups.ResultsCAS was successful in all patients. There were no significant differences in baseline characteristics of the patients (age, gender, hypertension, diabetes, smoking, alcohol consumption and dyslipidemia) and in 30-day or long-term follow-up outcomes between the ACS and SCS groups.ConclusionsPeriprocedural and long-term follow-up outcomes of CAS appear similar for ACS and SCS.

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