Carotid Artery Stenting: Single-Center Experience Over 11 Years
This article reports the results of carotid artery stenting during an 11-year period. Data from 168 carotid artery stenting procedures (symptomatic, n = 55; asymptomatic, n = 101; symptoms not accessible, n = 12) were retrospectively collected. Primary technical success rate, neurological events...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2010-04, Vol.33 (2), p.251-259 |
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| creator | Nolz, Richard Schernthaner, Rüdiger Egbert Cejna, Manfred Schernthaner, Melanie Lammer, Johannes Schoder, Maria |
| description | This article reports the results of carotid artery stenting during an 11-year period. Data from 168 carotid artery stenting procedures (symptomatic,
n
= 55; asymptomatic,
n
= 101; symptoms not accessible,
n
= 12) were retrospectively collected. Primary technical success rate, neurological events in-hospital, access-site complications, and contrast-induced nephropathy (
n
= 118) were evaluated. To evaluate the influence of experience in carotid artery stenting on intraprocedural neurologic complications, patients were divided into two groups. Group 1 included the first 80 treated patients, and group 2 the remainder of the patients (
n
= 88). In-stent restenoses at last-follow-up examinations (
n
= 89) were assessed. The overall primary technical success rate was 95.8%. The in-hospital stroke-death rate was 3.0% (
n
= 5; symptomatic, 5.4%; asymptomatic, 2.0%;
p
= 0.346). Neurologic complications were markedly higher in group 1 (4.2%; three major strokes; symptomatic, 2.8%, asymptomatic, 1.4%) compared to group 2 (2.4%; one major and one minor stroke—symptomatic, 1.2%, asymptomatic 1.2%), but this was not statistically significant. Further complications were access-site complications in 12 (7.1%), with surgical revision required in 1 (0.6%) and mild contrast-induced nephropathy in 1 (0.85%). Twenty-one (23.6%) patients had >50% in-stent restenosis during a mean follow-up of 28.2 months. In conclusion, advanced experience in carotid artery stenting leads to an acceptable periprocedural stroke-death rate. In-stent restenosis could be a critical factor during the follow-up course. |
| doi_str_mv | 10.1007/s00270-009-9673-9 |
| format | Article |
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n
= 55; asymptomatic,
n
= 101; symptoms not accessible,
n
= 12) were retrospectively collected. Primary technical success rate, neurological events in-hospital, access-site complications, and contrast-induced nephropathy (
n
= 118) were evaluated. To evaluate the influence of experience in carotid artery stenting on intraprocedural neurologic complications, patients were divided into two groups. Group 1 included the first 80 treated patients, and group 2 the remainder of the patients (
n
= 88). In-stent restenoses at last-follow-up examinations (
n
= 89) were assessed. The overall primary technical success rate was 95.8%. The in-hospital stroke-death rate was 3.0% (
n
= 5; symptomatic, 5.4%; asymptomatic, 2.0%;
p
= 0.346). Neurologic complications were markedly higher in group 1 (4.2%; three major strokes; symptomatic, 2.8%, asymptomatic, 1.4%) compared to group 2 (2.4%; one major and one minor stroke—symptomatic, 1.2%, asymptomatic 1.2%), but this was not statistically significant. Further complications were access-site complications in 12 (7.1%), with surgical revision required in 1 (0.6%) and mild contrast-induced nephropathy in 1 (0.85%). Twenty-one (23.6%) patients had >50% in-stent restenosis during a mean follow-up of 28.2 months. In conclusion, advanced experience in carotid artery stenting leads to an acceptable periprocedural stroke-death rate. In-stent restenosis could be a critical factor during the follow-up course.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-009-9673-9</identifier><identifier>PMID: 19669832</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Angiography - methods ; ARTERIES ; Austria ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - methods ; BLOOD VESSELS ; BODY ; Cardiology ; CARDIOVASCULAR SYSTEM ; CAROTID ARTERIES ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - surgery ; Clinical Investigation ; Cohort Studies ; DATA ACQUISITION ; Female ; Follow-Up Studies ; Graft Occlusion, Vascular - prevention & control ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Nuclear Medicine ; ORGANS ; Probability ; Prosthesis Failure ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; Risk Assessment ; Stents ; Stroke - etiology ; Stroke - prevention & control ; Survival Rate ; Time Factors ; Tomography, X-Ray Computed - methods ; Treatment Outcome ; TUBES ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2010-04, Vol.33 (2), p.251-259</ispartof><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009</rights><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-ed5a5611b002c7061256229c33b8b3c7c3315a7d89fb9eed5d17ad4080638dc13</citedby><cites>FETCH-LOGICAL-c398t-ed5a5611b002c7061256229c33b8b3c7c3315a7d89fb9eed5d17ad4080638dc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-009-9673-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-009-9673-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19669832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21429032$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Nolz, Richard</creatorcontrib><creatorcontrib>Schernthaner, Rüdiger Egbert</creatorcontrib><creatorcontrib>Cejna, Manfred</creatorcontrib><creatorcontrib>Schernthaner, Melanie</creatorcontrib><creatorcontrib>Lammer, Johannes</creatorcontrib><creatorcontrib>Schoder, Maria</creatorcontrib><title>Carotid Artery Stenting: Single-Center Experience Over 11 Years</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>This article reports the results of carotid artery stenting during an 11-year period. Data from 168 carotid artery stenting procedures (symptomatic,
n
= 55; asymptomatic,
n
= 101; symptoms not accessible,
n
= 12) were retrospectively collected. Primary technical success rate, neurological events in-hospital, access-site complications, and contrast-induced nephropathy (
n
= 118) were evaluated. To evaluate the influence of experience in carotid artery stenting on intraprocedural neurologic complications, patients were divided into two groups. Group 1 included the first 80 treated patients, and group 2 the remainder of the patients (
n
= 88). In-stent restenoses at last-follow-up examinations (
n
= 89) were assessed. The overall primary technical success rate was 95.8%. The in-hospital stroke-death rate was 3.0% (
n
= 5; symptomatic, 5.4%; asymptomatic, 2.0%;
p
= 0.346). Neurologic complications were markedly higher in group 1 (4.2%; three major strokes; symptomatic, 2.8%, asymptomatic, 1.4%) compared to group 2 (2.4%; one major and one minor stroke—symptomatic, 1.2%, asymptomatic 1.2%), but this was not statistically significant. Further complications were access-site complications in 12 (7.1%), with surgical revision required in 1 (0.6%) and mild contrast-induced nephropathy in 1 (0.85%). Twenty-one (23.6%) patients had >50% in-stent restenosis during a mean follow-up of 28.2 months. In conclusion, advanced experience in carotid artery stenting leads to an acceptable periprocedural stroke-death rate. In-stent restenosis could be a critical factor during the follow-up course.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography - methods</subject><subject>ARTERIES</subject><subject>Austria</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>BLOOD VESSELS</subject><subject>BODY</subject><subject>Cardiology</subject><subject>CARDIOVASCULAR SYSTEM</subject><subject>CAROTID ARTERIES</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - surgery</subject><subject>Clinical Investigation</subject><subject>Cohort Studies</subject><subject>DATA ACQUISITION</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Occlusion, Vascular - prevention & control</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Nuclear Medicine</subject><subject>ORGANS</subject><subject>Probability</subject><subject>Prosthesis Failure</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Stents</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention & control</subject><subject>Survival Rate</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><subject>TUBES</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFqGzEQhkVpqF0nD9BLWZpDT0pmJGsl9RKCSZOAIYckkJzErnbsbrB3XUkO8dtXZg2BQi4aDfrmH838jH1DOEMAfR4BhAYOYLktteT2ExvjVAoOpnz6zMaAespRKRyxrzG-AKAyQn1hI7RlaY0UY3Yxq0Kf2qa4DInCrrhP1KW2W_4q7vO5Ij7LOYXi6m1DoaXOU3H3mnPE4pmqEI_Z0aJaRTo5xAl7_H31MLvh87vr29nlnHtpTeLUqEqViHX-sddQolClENZLWZtaep0vqCrdGLuoLWW6QV01UzBQStN4lBN2Ouj2MbUu-jaR_-P7riOfnMCpsCBFpn4O1Cb0f7cUk1u30dNqVXXUb6PTUmoj9qNP2I__yJd-G7o8ghNCS62V2UM4QD70MQZauE1o11XYOQS3d8ANDrjsgNs74Gyu-X4Q3tZrat4rDivPgBiAmJ-6JYX3zh-r_gPaF42L</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Nolz, Richard</creator><creator>Schernthaner, Rüdiger Egbert</creator><creator>Cejna, Manfred</creator><creator>Schernthaner, Melanie</creator><creator>Lammer, Johannes</creator><creator>Schoder, Maria</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20100401</creationdate><title>Carotid Artery Stenting: Single-Center Experience Over 11 Years</title><author>Nolz, Richard ; 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Data from 168 carotid artery stenting procedures (symptomatic,
n
= 55; asymptomatic,
n
= 101; symptoms not accessible,
n
= 12) were retrospectively collected. Primary technical success rate, neurological events in-hospital, access-site complications, and contrast-induced nephropathy (
n
= 118) were evaluated. To evaluate the influence of experience in carotid artery stenting on intraprocedural neurologic complications, patients were divided into two groups. Group 1 included the first 80 treated patients, and group 2 the remainder of the patients (
n
= 88). In-stent restenoses at last-follow-up examinations (
n
= 89) were assessed. The overall primary technical success rate was 95.8%. The in-hospital stroke-death rate was 3.0% (
n
= 5; symptomatic, 5.4%; asymptomatic, 2.0%;
p
= 0.346). Neurologic complications were markedly higher in group 1 (4.2%; three major strokes; symptomatic, 2.8%, asymptomatic, 1.4%) compared to group 2 (2.4%; one major and one minor stroke—symptomatic, 1.2%, asymptomatic 1.2%), but this was not statistically significant. Further complications were access-site complications in 12 (7.1%), with surgical revision required in 1 (0.6%) and mild contrast-induced nephropathy in 1 (0.85%). Twenty-one (23.6%) patients had >50% in-stent restenosis during a mean follow-up of 28.2 months. In conclusion, advanced experience in carotid artery stenting leads to an acceptable periprocedural stroke-death rate. In-stent restenosis could be a critical factor during the follow-up course.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19669832</pmid><doi>10.1007/s00270-009-9673-9</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Cardiovascular and interventional radiology, 2010-04, Vol.33 (2), p.251-259 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Angiography - methods ARTERIES Austria Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - methods BLOOD VESSELS BODY Cardiology CARDIOVASCULAR SYSTEM CAROTID ARTERIES Carotid Stenosis - diagnostic imaging Carotid Stenosis - surgery Clinical Investigation Cohort Studies DATA ACQUISITION Female Follow-Up Studies Graft Occlusion, Vascular - prevention & control Humans Imaging Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Nuclear Medicine ORGANS Probability Prosthesis Failure Radiology RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies Risk Assessment Stents Stroke - etiology Stroke - prevention & control Survival Rate Time Factors Tomography, X-Ray Computed - methods Treatment Outcome TUBES Ultrasound |
| title | Carotid Artery Stenting: Single-Center Experience Over 11 Years |
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