Carotid artery stenting in patients with symptomatic coronary artery disease

Citation
Ys. Yoon et al., Carotid artery stenting in patients with symptomatic coronary artery disease, YONSEI MED, 41(1), 2000, pp. 89-97
Citations number
33
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
YONSEI MEDICAL JOURNAL
ISSN journal
0513-5796 → ACNP
Volume
41
Issue
1
Year of publication
2000
Pages
89 - 97
Database
ISI
SICI code
0513-5796(200002)41:1<89:CASIPW>2.0.ZU;2-#
Abstract
Carotid artery stenting has been accepted as a potential alternative to car otid endarterectomy in patients with significant carotid artery stenosis. T he objective of this study was to evaluate the feasibility, safety and long -term outcome of percutaneous stenting of carotid artery stenosis in patien ts with coexisting symptomatic coronary disease. Between May 1996 and May 1 999, we performed carotid artery stenting at 48 lesions in 36 patients with carotid stenosis of 60% and symptomatic coronary artery stenosis. Twenty-o ne patients (58%) had neurologic symptoms. Carotid stenting was performed i n 43 internal, 2 external and 3 common carotid lesions. We used Wallstent i n 46 lesions, Palmaz stent in 2 lesions and Microstent II in 1 lesion. Stag ed or combined coronary intervention was performed in 18 patients (50%) and staged coronary artery bypass surgery was performed in 6 patients (17%). I n the other 12 patients (33%), medical treatments were performed. Carotid s tenting was successful in all lesions. Simultaneous bilateral carotid stent ing was performed in 11 patients (31%). One major and 1 minor stroke develo ped during the procedure. There were no deaths during the procedures and wi thin 30 days post-procedure. During the follow-up of 14+/-7 (3 to 40) month s, there were no deaths or neurological events. On follow-up (6+/-1 months) angiography and/or duplex sonography of 44 eligible lesions in 32 patients , there were 2 cases of asymptomatic restenosis (4.5%) which developed in P almaz stents implanted at the external carotid artery and the common caroti d artery, respectively. In conclusion, carotid artery stenting in patients with coexistent carotid and coronary artery disease is feasible, safe and s hows favorable follow-up outcomes.