Author/Authors :
ateş, ahmet hakan hacettepe unıversity - faculty of medicine - cardiology department, Turkey , özbalcı, aysu başak university of health sciences - samsun training and research hospital - department of radiology, Samsun, Turkey , kum, selim university of health sciences - ahi evren training and research hospital - department of cardiology, Trabzon, Turkey , yenerçağ, mustafa university of health sciences - samsun training and research hospital - department of cardiology, Samsun, Turkey , şener, yusuf ziya university of health sciences - samsun training and research hospital - department of cardiology, Samsun, Turkey , arslan, uğur university of health sciences - samsun training and research hospital - department of cardiology, Samsun, Turkey
Abstract :
Objectives: The effectiveness of carotid artery stenting for primary and secondary prevention of ischemic stroke has been demonstrated in many studies. In this study, we aimed to present the characteristics and post-procedural clinical outcomes of the patients admitted to our clinic with severe carotid artery disease and revascularized by carotid artery stenting with distal embolic protection system. Materials and Methods: This study was a single center retrospective study. Between Jan 2015 and May 2017 patients undergoing carotid artery stenting procedure were included in the study. Symptomatic cases with more than 50% stenosis and asymptomatic patients with more than 70% carotid stenosis were included. Results: Twenty-five patients were included in the study. 68% of patients were male with a mean age of 69.3 ± 15.7 years. 92% of patients were symptomatic. In all patients, distal embolic protection devices and self-expandable carotid stents were used. All procedures were performed successfully. No mortality or myocardial infarction was observed in any of the patients in whom carotid artery stenting was applied successfully. Five complications were seen related to the procedure. One patient had air embolism, one patient had transient ischemic attack, one patient had stroke, one patient had symptomatic nodal rhythm and the last patient had hyper-perfusion syndrome. Conclusion: Carotid artery stenting is being successfully applied with acceptable complication rates in experienced centers.
Keywords :
Stroke , carotid artery stenosis , carotid artery stenting , clinical outcomes