Author/Authors :
Polat, Nihat Dicle Üniversitesi - Tıp Fakültesi - Kardiyoloji Anabilim Dalı, Türkiye , Elbey, Mehmet Ali Dicle Üniversitesi - Tıp Fakültesi - Kardiyoloji Anabilim Dalı, Türkiye , Akıl, Eşref Dicle Üniversitesi - Tıp Fakültesi - Hastanesi Aile Hekimliği Anabilim Dalı, Türkiye , Çil, Habib Dicle Üniversitesi - Tıp Fakültesi - Kardiyoloji Anabilim Dalı, Türkiye , Özaydoğdu, Necdet Dicle Üniversitesi - Tıp Fakültesi - Nöroloji Anabilim Dalı, Türkiye , Akıl, Mehmet Ata Dicle Üniversitesi - Tıp Fakültesi - Kardiyoloji Kliniği, Türkiye , Çaylı, Murat Dicle Üniversitesi - Tıp Fakültesi - Nöroloji Anabilim Dalı, Türkiye
Abstract :
Objective: In this study, we aimed to present the characteristics and short-term clinical outcomes of the patients admitted to our clinic with a diagnosis of carotid artery disease and revascularized by carotid artery stenting (CAS). Methods: The study was retrospective and a single-centered study. Between May 2012 and May 2014 the patients with an indication for carotid artery intervention and accepted CAS procedure were included in the study. Clinical characteristics and procedural data of the patients were obtained by scanning patient files. After discharge, hospital records were scanned and patients were called to learn whether or not patients were alive and that they have suffered a recent stroke. Results: We included 26 patients that meet the inclusion criteria in the study. 69% of patients were female with a mean age of 66 ± 9 years. 73% of patients were symptomatic, 73% had hypertension, 27% had diabetes mellitus, 39% had hyperlipidemia, 69% had coronary artery disease and 31% were active smoker. In all patients, self-expandable stents and distal embolic protection devices were used. 18 left, six right, and two bilateral (in separate sessions) carotid arteries were stented with a total of 26 patients and 28 successful CAS. Due to residual stenosis a second stent was implanted only in one patient. One patient experienced a partial muscle weakening in upper extremity due to an air embolism, which recovered spontaneously in 24 hours. Patients were followed for 11.5 ± 8 (minimum 2-maximum 27, median 10) months. During follow-up, no patients had recurrent stroke and transischemic attack. One patient died after eight months of CAS. Conclusion: CAS is being successfully applied with a very low risk of complications in experienced centers. Short-term clinical results of CAS are quite satisfactory.
NaturalLanguageKeyword :
stroke , carotid artery stenosis , carotid artery stenting , clinical outcomes
