Long-term outcome in patients with carotid artery stenting and contralateral carotid occlusion: a single neurovascular center prospective analysis

Lago, Aída; Parkhutik, Vera; Tembl, José Ignacio; Aparici, Fernando; Mainar, Esperanza; Alcalá, Carmen; Vázquez-Añón, V.

doi:10.1007/s00234-011-0974-8

Cited by 9 publications

(23 citation statements)

References 27 publications

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“…Long term follow up data included the occurrence of TIA, stroke, cerebral hemorrhage, myocardial infarction, peripheral vascular procedure or amputation and death [6,8]. Cause of death was classified as stroke-related, cardiopathy-related, due to other causes or unknown.…”

Section: Methodsmentioning

confidence: 99%

“…We treated all symptomatic patients with stenosis >50% according to NASCET criteria [5]. Pre-treatment evaluation included basal neurological imaging (MR or CT), electrocardiogram, chest X-ray, blood tests, and a complete neurologic assessment [6]. Treatment was typically performed between 2 weeks and 3 months after symptoms onset.…”

Section: Methodsmentioning

confidence: 99%

“…Patients unable to come to the clinic were interviewed telephonically. Patients referred from other hospitals that underwent long-term follow up at their centers of origin were included in the immediate and 30 days analysis only [6]. …”

Section: Methodsmentioning

confidence: 99%

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Diabetes Does not Affect Outcome of Symptomatic Carotid Stenosis Treated with Endovascular Techniques

Lago

Parkhutik²,

Tembl³

et al. 2013

Eur Neurol

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Background: The influence of diabetes on carotid revascularization techniques is controversial, with few data regarding angioplasty and stenting (CAS). Our purpose was to analyze whether its presence constitutes a risk factor for poor outcome of patients with carotid stenosis treated with CAS. Methods: We compared 30-day and long term morbidity and mortality, as well as restenosis rates, of non diabetic and diabetic patients with symptomatic carotid stenosis treated with endovascular techniques. Results: 318 consecutive patients, 116 (36.5%) of them diabetics, were followed for a median of 56 months. Cumulative 30-day stroke, ischemic cardiopathy and death rate was 4% for non diabetics and 5.2% for diabetics (non significant). Long term stroke and mortality rate was 26.4% for the first group and 34.3% for the second (non significant). The most frequent causes of death were myocardial infarction (17.5% non diabetics, 44% diabetics, p = 0.04), ischemic stroke (12.5% non diabetics, 4% diabetics, non significant) and cancer (30% non diabetics, 16% diabetics, non significant). Twelve patients (6.4%) had restenosis ≥50%, 5.9% non diabetic, 7.4% diabetic, also without statistical significance. Conclusions: In our series, endovascular treatment is both efficient and safe in diabetic patients with symptomatic carotid stenosis; therefore, the presence of diabetes mellitus did not increase the risks linked to CAS procedure.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Diabetes Does not Affect Outcome of Symptomatic Carotid Stenosis Treated with Endovascular Techniques

Lago

Parkhutik²,

Tembl³

et al. 2013

Eur Neurol

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“…Moreover, the long-term rates of mortality (25.6% vs. 22.2%, p = 0.63), stroke (5.3% vs. 3.4%, p = 0.64) and MI (15.4% vs. 14%, p = 0.81) were also similar [17]. In addition, Lago et al reported similar 30-day and long-term complication rates between patients with and without CCO after CAS [18]. In the present study, the 30-day, 6-month and 1-year rates of mortality, stroke and MI were similar between patients with and without CCO after CAS.…”

Section: Discussionmentioning

confidence: 77%

Does contralateral carotid artery occlusion affect the clinical and long-term outcomes of carotid artery stenting?

Can¹,

Kocayiğit²

2020

Arch Med Sci Atheroscler Dis

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Does contralateral carotid artery occlusion affect the clinical and long-term outcomes of carotid artery stenting?Yusuf Can, Ibrahim Kocayigit A b s t r a c t Introduction: Carotid artery stenting (CAS) has been used with increasing frequency in recent years as an alternative to surgery. Contralateral carotid occlusion (CCO) is present in approximately 2.3% to 25% of cases of revascularised carotid atherosclerotic stenosis. We aimed to compare the outcomes of 30-day, 6-month and 1-year stroke, transient ischaemic attack (TIA), death and myocardial infarction (MI) in patients with and without CCO who underwent CAS in our clinic. Material and methods: The study was conducted with 288 consecutive patients who underwent CAS between September 2010 and June 2018. Patients with carotid stenting were divided into two groups: with (48 patients) and without CCO (240 patients). Results: Total mortality (2.08% vs. 2.08% p = 1), stroke (2.08% vs. 0.83%, p = 0.43), TIA (0% vs. 0.83%, p = 0.52), MI (0% vs. 0%), and composite outcome (4.17% vs. 3.33%, p = 0.77) at 30 days were not significantly different between CCO and non-CCO groups. Also there was no statistically significant difference between the two groups in terms of the 6-month and 1-year outcomes (p > 0.05). Conclusions: There was no difference between 30-day, 6-month and 1-year non-fatal MI, TIA, ischaemic stroke and mortality in the comparison of patients with and without CCO who underwent CAS. The outcomes were similar in terms of age and symptoms, and these data should be supported by prospective multicenter studies.

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“…Other authors also reported that CAS resulted in no significant increases in perioperative or long-term complications for patients with CCO. 25,26 On the contrary, Mercado et al 27 reported that CCO was associated with an increased risk of early postprocedural death, myocardial infarction, or stroke in patients undergoing elective CAS, which was based on results from the Carotid Artery Revascularization and Endarterectomy (CARE) registry. Brewster et al 28 recently reported that CAS was not superior to CEA for early and midterm outcomes in patients with CCO.…”

Section: Discussionmentioning

confidence: 99%

Impact of contralateral carotid or vertebral artery occlusion in patients undergoing carotid endarterectomy or carotid artery stenting

Yang

Kim

et al. 2014

Journal of Vascular Surgery

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Long-term outcome in patients with carotid artery stenting and contralateral carotid occlusion: a single neurovascular center prospective analysis

Cited by 9 publications

References 27 publications

Diabetes Does not Affect Outcome of Symptomatic Carotid Stenosis Treated with Endovascular Techniques

Diabetes Does not Affect Outcome of Symptomatic Carotid Stenosis Treated with Endovascular Techniques

Does contralateral carotid artery occlusion affect the clinical and long-term outcomes of carotid artery stenting?

Impact of contralateral carotid or vertebral artery occlusion in patients undergoing carotid endarterectomy or carotid artery stenting

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