open access

Vol 23, No 1 (2017)
Original papers
Published online: 2017-05-12
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Safety and efficacy of endovascular treatment for carotid artery stenoses using proximal protection systems: 30-day follow-up

Pawel Latacz, Marian Simka, Marek Kazibudzki, Pawel Brzegowy, Jan J. Kesik
DOI: 10.5603/AA.2017.0001
·
Acta Angiologica 2017;23(1):1-8.

open access

Vol 23, No 1 (2017)
Original papers
Published online: 2017-05-12

Abstract

Introduction. Although surgical endarterectomy remains the treatment of choice for carotid artery stenosis, carotid artery stenting (CAS) with use of proximal protection systems (PPS) plays an important role as alternative treatment modality, especially in high risk patients. This study was aimed at the assessment of safety of CAS with use of the PPS and also at identification of risk factors associated with this procedure.

Material and methods. This was a post hoc analysis, with 30-day follow-up. We analysed results of treatment of 94 patients who underwent 97 CAS with PPS, 47 such procedures in asymptomatic, and 50 in symptomatic individuals.

Results. There were 0 strokes during 30-day follow-up. Transient ischaemic attacks occurred in 2 patients (2%) in symptomatic group. Risk factors of these adverse events comprised: tortuosity of the managed artery, chronic obstructive pulmonary disease, long lesion of the internal carotid artery and history of myocardial infarction.

Conclusions. CAS with the use of PPS seems to be a relatively very safe procedure in high risk patients.

Abstract

Introduction. Although surgical endarterectomy remains the treatment of choice for carotid artery stenosis, carotid artery stenting (CAS) with use of proximal protection systems (PPS) plays an important role as alternative treatment modality, especially in high risk patients. This study was aimed at the assessment of safety of CAS with use of the PPS and also at identification of risk factors associated with this procedure.

Material and methods. This was a post hoc analysis, with 30-day follow-up. We analysed results of treatment of 94 patients who underwent 97 CAS with PPS, 47 such procedures in asymptomatic, and 50 in symptomatic individuals.

Results. There were 0 strokes during 30-day follow-up. Transient ischaemic attacks occurred in 2 patients (2%) in symptomatic group. Risk factors of these adverse events comprised: tortuosity of the managed artery, chronic obstructive pulmonary disease, long lesion of the internal carotid artery and history of myocardial infarction.

Conclusions. CAS with the use of PPS seems to be a relatively very safe procedure in high risk patients.

Get Citation

Keywords

carotid angioplasty; proximal protection systems; stents

About this article
Title

Safety and efficacy of endovascular treatment for carotid artery stenoses using proximal protection systems: 30-day follow-up

Journal

Acta Angiologica

Issue

Vol 23, No 1 (2017)

Pages

1-8

Published online

2017-05-12

DOI

10.5603/AA.2017.0001

Bibliographic record

Acta Angiologica 2017;23(1):1-8.

Keywords

carotid angioplasty
proximal protection systems
stents

Authors

Pawel Latacz
Marian Simka
Marek Kazibudzki
Pawel Brzegowy
Jan J. Kesik

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