open access
Treatment of critical stenosis of internal carotid artery in octogenarians
open access
Abstract
Material and methods: In summary, between 2002 and 2005, 431 vascular interventions on the carotid arteries were carried out on patients with critical carotid artery stenosis. In 216 patients open surgical reconstructions were done (eversion endarterectomy-eCEA). In the remaining 234 cases, endovascular procedures were undertaken (angioplasty, and stent placement - CAS). This group consisted of 83 (38.4%) patients who were treated by surgical reconstruction while 83 (38.4%) and 142 (60.7%) underwent an endovascular procedure. In this study only patients over 70 were included.
Results: In the study group there was no incident of peri-operative death. In 3 patients (2.1%) after stent implanation and in 4 patients (4.8%) after endarterectomy an ischaemic stroke was recognized. In another 5 (6.2%) patients a RIND was observed after surgical procedure. In some of the patients, a decrease in blood pressure was noticed. However, blood pressure normalized less than 48 hours after the procedure.
Conclusions: Endovascular treatment of critical carotid artery stenosis in older patients is related to lower risk of complications in the peri-operative period.
Abstract
Material and methods: In summary, between 2002 and 2005, 431 vascular interventions on the carotid arteries were carried out on patients with critical carotid artery stenosis. In 216 patients open surgical reconstructions were done (eversion endarterectomy-eCEA). In the remaining 234 cases, endovascular procedures were undertaken (angioplasty, and stent placement - CAS). This group consisted of 83 (38.4%) patients who were treated by surgical reconstruction while 83 (38.4%) and 142 (60.7%) underwent an endovascular procedure. In this study only patients over 70 were included.
Results: In the study group there was no incident of peri-operative death. In 3 patients (2.1%) after stent implanation and in 4 patients (4.8%) after endarterectomy an ischaemic stroke was recognized. In another 5 (6.2%) patients a RIND was observed after surgical procedure. In some of the patients, a decrease in blood pressure was noticed. However, blood pressure normalized less than 48 hours after the procedure.
Conclusions: Endovascular treatment of critical carotid artery stenosis in older patients is related to lower risk of complications in the peri-operative period.
Keywords
carotis artery stenosis; older patients; endarterectomy; angioplasty; stent; brain insult


Title
Treatment of critical stenosis of internal carotid artery in octogenarians
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
27-32
Published online
2006-03-17
Bibliographic record
Chirurgia Polska 2006;8(1):27-32.
Keywords
carotis artery stenosis
older patients
endarterectomy
angioplasty
stent
brain insult
Authors
Krzysztof Ziaja
Arkadiusz Krupowies
Wacław Kuczmik
Damian Ziaja
Marek Kazibudzki
Tomasz Ludyga
Jakub Gęborski