Demographic and Technical Risk Factors of 30-Day Stroke, Myocardial Infarction, and/or Death in Standard- and High-Risk Patients Who Underwent Carotid Angioplasty and Stenting.

Borhani Haghighi, Afshin and Yousefi, Samaneh and Bahramali, Ehsan and Kokabi, Safoora and Heydari, Seyed Taghi and Shariat, Abdolhamid and Nikseresht, Alireza and Ashjazadeh, Nahid and Izadi, Sadegh and Petramfar, Peyman and Poursadegh, Maryam and Rahimi Jaberi, Abbas and Emami, Sajjad and Agheli, Hamid and Nemati, Reza and Yaghoubi, Ehsan and Abdi, Mohammad Hosein and Panahandeh, Majid and Heydari, Moslem and Safari, Anahid and Basir, Marziyeh and Cruz-Flores, Salvador and Edgell, Randal (2015) Demographic and Technical Risk Factors of 30-Day Stroke, Myocardial Infarction, and/or Death in Standard- and High-Risk Patients Who Underwent Carotid Angioplasty and Stenting. Interventional neurology, 3 (3-4). pp. 165-73. ISSN 1664-9737

Full text not available from this repository.

Abstract

BACKGROUND Carotid angioplasty and stenting (CAS) is an accepted treatment to prevent stroke in patients with carotid artery stenosis. The purpose of this study is to identify risk factors for major complications after CAS. MATERIALS AND METHODS This is a prospective study that was conducted at Shiraz University of Medical Sciences in southern Iran from March 2011 to June 2014. Consecutive patients undergoing CAS were enrolled. Both standard- and high-risk patients for endarterectomy were enrolled. Demographic data, atherosclerotic risk factors, site of stenosis, degree of stenosis, and data regarding technical factors were recorded. Thirty-day stroke, myocardial infarction, and/or death were considered as the composite primary outcomes of the study. RESULTS A total of 251 patients were recruited (mean age: 71.1 ± 9.6 years; male: 65.3%). Of these, 178 (70.9%) were symptomatic, 73 (29.1%) were diabetic, 129 (51.4%) were hyperlipidemic, 165 (65.7%) were hypertensive, and 62 (24.7%) patients were smokers. CAS was performed for left internal carotid artery (ICA) in 113 (45.4%) patients. Fourteen (5.6%) patients had sequential bilateral stenting. Mean stenosis of operated ICA was 80.2 ± 13.8%. An embolic protection device was used in 203 (96.2%) patients. Pre- and postdilation were performed in 39 (18.5%) and 182 (86.3%) patients, respectively. Composite outcomes were observed in 3.6% of patients (3.2% stroke, 0% myocardial infarction, and 1.2% death). Left-sided lesions and the presence of diabetes mellitus were significantly associated with poor short-term outcome (p = 0.025 and p = 0.020, respectively). CONCLUSION There was a higher risk of short-term major complications in diabetic patients and for left carotid artery intervention.

Item Type: Article
Divisions: School of Medicine
Depositing User: Unnamed user with email eprints@fums.ac.ir
Date Deposited: 09 Mar 2017 18:49
Last Modified: 09 Mar 2017 18:49
URI: http://eprints.fums.ac.ir/id/eprint/432

Actions (login required)

View Item View Item