Carotid and Vertebral Artery Transluminal Angioplasty Study

Naylor, A. Ross; London, N.J.M.; Bell, P. R. F.

doi:10.1016/s0140-6736(05)62538-x

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…a complication rate of 10% for the Carotid and Vertebral Artery Transluminal Angioplasty Study and 12.1% for the WALLSTENT study). 12,13 Only one of our patients (0.9%) showed neurological alterations during the procedure or immediate postoperative period. This rate of intraand postoperative neurological alterations is favorable considering those of the SPACE2 and Stent Protected Angioplasty versus Carotid Endarterectomy trials.…”

Section: Discussionmentioning

confidence: 81%

Proximal balloon-guided catheter with flow inversion vs. distal filter protection during the carotid stent placement, a seven years experience in a Colombian reference center

et al. 2022

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Background and purpose The carotid stent placement as a therapeutic option for carotid stenosis has been increasing among years; therefore, studies are required to evaluate the security and efficacy of its materials. The purpose of this study was to evaluate the distal filter and the proximal balloon-guided catheter with flow inversion as protection devices during carotid angioplasty and stenting. Methods This is a retrospective, observational study of patients diagnosed with carotid stenosis treated with angioplasty between January 1, 2014, and June 30, 2020; we analyzed a radiology service database to compare the distal filter and the proximal balloon-guided catheter as protection devices during angioplasty. Results One hundred seventy-five angioplasties were performed, the distal filter was the most prevalent embolic protection device used (66%), patients baseline characteristics did not differ between groups with different embolic protection devices, except for history of dyslipidemia ( p < 0.000). As well, we did not find any significant differences between the groups in the device related complications, intervention time ( p = 0.140), unrelated complications ( p = 0.693) and functional independence at 90 days (p = 0.096). Conclusions In our study the proximal balloon-guided catheter and the distal filter protection device as protection devices during the carotid stenting didn't show significant differences regarding complications related to the system.

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Section: Discussionmentioning

confidence: 81%

Proximal balloon-guided catheter with flow inversion vs. distal filter protection during the carotid stent placement, a seven years experience in a Colombian reference center

et al. 2022

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“…Angioplasty was introduced cautiously in the carotid and cerebral circulations because of fears that plaque rupture and embolism might cause stroke, but during the past 10 years, angioplasty and/or stenting at the carotid bifurcation has increased in popularity and is under investigation as a potential alternative to endarterectomy. Before 2006 only five small RCTs of angioplasty and/or stenting vs. endarterectomy had been reported (44–48). Taken together, they suggested that angioplasty and stenting are associated with a slightly higher procedural risk than endarterectomy and a higher rate of restenosis.…”

Section: Carotid Endarterectomy For Recently Symptomatic Stenosismentioning

confidence: 99%

Medical and Surgical Management of Symptomatic Carotid Stenosis

Rothwell

2006

International Journal of Stroke

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Carotid bifurcation stenosis is an important cause of ischaemic stroke, particularly in patients with recent transient ischaemic attack or minor stroke. Large randomized trials of endarterectomy have shown that surgery reduces the risk of stroke in patients with > or = 50% recently symptomatic carotid stenosis, and more recent research has gone some way to wards identifying which patients benefit the most. Individual risk modelling has been shown to be useful in selecting patients with the most to gain from endarterectomy for symptomatic stenosis, although timely surgery and optimal medical treatment are of equal importance.

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“…Angioplasty was introduced cautiously in the cerebral circulation because of fears of plaque rupture and embolism causing stroke, but dur-ing the past 10 years angioplasty and/or stenting at the carotid bifurcation has increased in popularity and is under investigation as a potential alternative to endarterectomy. Thus far, there have been fi ve small RCTs (CAVATAS Group 2001;Naylor & London 1997;Alberts 2001;Brooks et al 2001;Yadav et al 2002). Taken together, they suggest that angioplasty and/or stenting is associated with a slightly higher procedural risk than endarterectomy and a higher rate of re-stenosis.…”

Section: Carotid Angioplasty and Stentingmentioning

confidence: 99%

With what to treat which patient with recently symptomatic carotid stenosis?

Rothwell¹

2005

Pract Neurology

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INTRODUCTION Carotid endarterectomy is the most frequently performed vascular surgical procedure in the USA, and the rates are rising in Europe (Tu et al. 1998; Hsia et al. 1998). About half of ischaemic strokes are caused by atherothrombo-embolism (Sandercock et al. 2003), the majority related to atheroma in the extracranial arteries in white people, often at the origin of the internal carotid artery (ICA). The risk of stroke is relatively low distal to an asymptomatic carotid stenosis (Rothwell et al. 1995), but is markedly increased, at least for a few years, in patients who present with a transient ischaemic attack (TIA) or minor ischaemic stroke in the territory of a stenosed carotid artery. Most of the strokes that occur within the first few years after a TIA or minor ischaemic stroke in patients with carotid stenosis are ischaemic and in the territory of the symptomatic artery – i.e. ipsilateral ischaemic stroke.

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Carotid and Vertebral Artery Transluminal Angioplasty Study

Cited by 9 publications

References 6 publications

Proximal balloon-guided catheter with flow inversion vs. distal filter protection during the carotid stent placement, a seven years experience in a Colombian reference center

Proximal balloon-guided catheter with flow inversion vs. distal filter protection during the carotid stent placement, a seven years experience in a Colombian reference center

Medical and Surgical Management of Symptomatic Carotid Stenosis

With what to treat which patient with recently symptomatic carotid stenosis?

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