Carotid artery stenting: Results and long-term follow-up

A. K. Gupta, S. Purkayastha, T. R. Kapilamoorthy, M. D. Nair, T. Krishnamoorthy, S. Rupa, C. Kesavadas, N. K. Bodhey, B. Thomas

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Abstract

Background and Purpose: The role of carotid artery stenting (CAS) as an alternative to carotid endarterectomy in the treatment of for symptomatic carotid artery stenosis is investigated. Materials and Methods: Forty-seven patients underwent CAS over 10-year period. Forty-nine vessels were treated. Stenosis quantification was done using North American symptomatic carotid endarterectomy trial method. The mean follow-up period by clinical and Duplex examination ranged is 5.6 years. Results: The technical success rate was 100%. There were four deaths (8.1%) and two (4.1%) minor strokes within thirty days of procedure. There was no major strokes. All patients with minor stroke achieved complete recovery at 1-month follow up. Two deaths occurred probably due to hyperperfusion syndrome (HS) and two due to cardiac arrest. Conclusion: CAS is an effective treatment modality of symptomatic carotid artery disease but should be carefully done in high-risk groups having severe medical ailments and those having severe bilateral stenosis of the carotid arteries.

Original languageEnglish (US)
Pages (from-to)68-72
Number of pages5
JournalNeurology India
Volume54
Issue number1
DOIs
StatePublished - Jan 1 2006

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All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Gupta, A. K., Purkayastha, S., Kapilamoorthy, T. R., Nair, M. D., Krishnamoorthy, T., Rupa, S., Kesavadas, C., Bodhey, N. K., & Thomas, B. (2006). Carotid artery stenting: Results and long-term follow-up. Neurology India, 54(1), 68-72. https://doi.org/10.4103/0028-3886.24711