Asymptomatic carotid stenosis in patients undergoing major cardiac surgery: can percutaneous carotid angioplasty be an alternative?
OBJECTIVE: As the mortality associated with coronary artery bypassgrafts has fallen, morbidity has become an increasing problem. Theimprovement of transluminal carotid angioplasty is enlarged to patientswith asymptomatic severe carotid stenosis (> 85%) requiring coronarysurgery. METHODS: Between...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 1997-03, Vol.11 (3), p.547-553 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Babatasi, G Massetti, M Theron, J Khayat, A |
| description | OBJECTIVE: As the mortality associated with coronary artery bypassgrafts has fallen, morbidity has become an increasing problem. Theimprovement of transluminal carotid angioplasty is enlarged to patientswith asymptomatic severe carotid stenosis (> 85%) requiring coronarysurgery. METHODS: Between January 1993 and January 1995, 10 patientsunderwent percutaneous carotid angioplasty prior to cardiac surgery (17.4days). Mean age was 71 +/- 4.3 years. Four patients showed a contralateralocclusion of the internal carotid artery. Transluminal carotid angioplastywas carried out with a triple coaxial catheter system. Six angioplastiesrequired a Strecker stent. RESULTS: Mean follow-up was 11.4 months. Nomortality was observed. Only one patient showed a transient hemianopsia.All patients underwent angiography at four months. Two patients required anew procedure of carotid angioplasty completed with a Strecker stent in onecase and by dilatation of a stent in another patient. CONCLUSION: Theresults of transluminal carotid angioplasty, in this short series, areencouraging in this group of high-risk morbidity and mortality (elderlypatients, bilateral carotid lesions, multiple coronary arterialgrafts). |
| doi_str_mv | 10.1016/S1010-7940(96)01105-0 |
| format | Article |
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Theimprovement of transluminal carotid angioplasty is enlarged to patientswith asymptomatic severe carotid stenosis (> 85%) requiring coronarysurgery. METHODS: Between January 1993 and January 1995, 10 patientsunderwent percutaneous carotid angioplasty prior to cardiac surgery (17.4days). Mean age was 71 +/- 4.3 years. Four patients showed a contralateralocclusion of the internal carotid artery. Transluminal carotid angioplastywas carried out with a triple coaxial catheter system. Six angioplastiesrequired a Strecker stent. RESULTS: Mean follow-up was 11.4 months. Nomortality was observed. Only one patient showed a transient hemianopsia.All patients underwent angiography at four months. Two patients required anew procedure of carotid angioplasty completed with a Strecker stent in onecase and by dilatation of a stent in another patient. CONCLUSION: Theresults of transluminal carotid angioplasty, in this short series, areencouraging in this group of high-risk morbidity and mortality (elderlypatients, bilateral carotid lesions, multiple coronary arterialgrafts).</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/S1010-7940(96)01105-0</identifier><identifier>PMID: 9105822</identifier><language>eng</language><publisher>Germany: Elsevier Science B.V</publisher><subject>Aged ; Angioplasty, Balloon ; Carotid Artery, Internal - diagnostic imaging ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - therapy ; Cerebral Angiography ; Combined Modality Therapy ; Coronary Artery Bypass ; Humans ; Male ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Stents</subject><ispartof>European journal of cardio-thoracic surgery, 1997-03, Vol.11 (3), p.547-553</ispartof><rights>1997 Elsevier Science B.V. 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-75b7c27b34eedd7d171bd461476f7e19a2c4899761c7e41e9dc88ad69e06bfa23</citedby><cites>FETCH-LOGICAL-c465t-75b7c27b34eedd7d171bd461476f7e19a2c4899761c7e41e9dc88ad69e06bfa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9105822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Babatasi, G</creatorcontrib><creatorcontrib>Massetti, M</creatorcontrib><creatorcontrib>Theron, J</creatorcontrib><creatorcontrib>Khayat, A</creatorcontrib><title>Asymptomatic carotid stenosis in patients undergoing major cardiac surgery: can percutaneous carotid angioplasty be an alternative?</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><addtitle>Eur J Cardiothorac Surg</addtitle><description>OBJECTIVE: As the mortality associated with coronary artery bypassgrafts has fallen, morbidity has become an increasing problem. Theimprovement of transluminal carotid angioplasty is enlarged to patientswith asymptomatic severe carotid stenosis (> 85%) requiring coronarysurgery. METHODS: Between January 1993 and January 1995, 10 patientsunderwent percutaneous carotid angioplasty prior to cardiac surgery (17.4days). Mean age was 71 +/- 4.3 years. Four patients showed a contralateralocclusion of the internal carotid artery. Transluminal carotid angioplastywas carried out with a triple coaxial catheter system. Six angioplastiesrequired a Strecker stent. RESULTS: Mean follow-up was 11.4 months. Nomortality was observed. Only one patient showed a transient hemianopsia.All patients underwent angiography at four months. Two patients required anew procedure of carotid angioplasty completed with a Strecker stent in onecase and by dilatation of a stent in another patient. CONCLUSION: Theresults of transluminal carotid angioplasty, in this short series, areencouraging in this group of high-risk morbidity and mortality (elderlypatients, bilateral carotid lesions, multiple coronary arterialgrafts).</description><subject>Aged</subject><subject>Angioplasty, Balloon</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebral Angiography</subject><subject>Combined Modality Therapy</subject><subject>Coronary Artery Bypass</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Stents</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkV9vFCEUxYmxqbX6EZrwZPQBCzMMDL6YplXXpIkm_knjC2Hg7oY6M4zAGPfZL162s25i0hfgcn_nXHJA6IzR14wycf6lrJRIxelLJV5RxmhD6CN0wlpZE1nzm8fl_A95gp6mdEspFXUlj9GxKnRbVSfo70XaDlMOg8neYmtiyN7hlGEMySfsRzyVDow54Xl0EDfBjxs8mNsQd7TzxuI0xw3E7ZtyUXCIds5mhDCng58ZNz5MvUl5izsoJTZ9hjgW69_w9hk6Wps-wfP9foq-vX_39XJFrj99-Hh5cU0sF00msumkrWRXcwDnpGOSdY4LxqVYS2DKVJa3SknBrATOQDnbtsYJBVR0a1PVp-jF4jvF8GuGlPXgk4W-X16rZauaileigM0C2hhSirDWU_SDiVvNqN6Fr-_D17tktRL6PnxNi-5sP2DuBnAH1T7t0qdLP8zTw5bkP0uysySLxJc_-XMQmfhTC1nLRq9ufmj1eXV19Z2Vor4Dv1GgRg</recordid><startdate>19970301</startdate><enddate>19970301</enddate><creator>Babatasi, G</creator><creator>Massetti, M</creator><creator>Theron, J</creator><creator>Khayat, A</creator><general>Elsevier Science B.V</general><scope>BSCLL</scope><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>7X8</scope></search><sort><creationdate>19970301</creationdate><title>Asymptomatic carotid stenosis in patients undergoing major cardiac surgery: can percutaneous carotid angioplasty be an alternative?</title><author>Babatasi, G ; Massetti, M ; Theron, J ; Khayat, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-75b7c27b34eedd7d171bd461476f7e19a2c4899761c7e41e9dc88ad69e06bfa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - therapy</topic><topic>Cerebral Angiography</topic><topic>Combined Modality Therapy</topic><topic>Coronary Artery Bypass</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babatasi, G</creatorcontrib><creatorcontrib>Massetti, M</creatorcontrib><creatorcontrib>Theron, J</creatorcontrib><creatorcontrib>Khayat, A</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babatasi, G</au><au>Massetti, M</au><au>Theron, J</au><au>Khayat, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asymptomatic carotid stenosis in patients undergoing major cardiac surgery: can percutaneous carotid angioplasty be an alternative?</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>1997-03-01</date><risdate>1997</risdate><volume>11</volume><issue>3</issue><spage>547</spage><epage>553</epage><pages>547-553</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><abstract>OBJECTIVE: As the mortality associated with coronary artery bypassgrafts has fallen, morbidity has become an increasing problem. Theimprovement of transluminal carotid angioplasty is enlarged to patientswith asymptomatic severe carotid stenosis (> 85%) requiring coronarysurgery. METHODS: Between January 1993 and January 1995, 10 patientsunderwent percutaneous carotid angioplasty prior to cardiac surgery (17.4days). Mean age was 71 +/- 4.3 years. Four patients showed a contralateralocclusion of the internal carotid artery. Transluminal carotid angioplastywas carried out with a triple coaxial catheter system. Six angioplastiesrequired a Strecker stent. RESULTS: Mean follow-up was 11.4 months. Nomortality was observed. Only one patient showed a transient hemianopsia.All patients underwent angiography at four months. Two patients required anew procedure of carotid angioplasty completed with a Strecker stent in onecase and by dilatation of a stent in another patient. 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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Angioplasty, Balloon Carotid Artery, Internal - diagnostic imaging Carotid Stenosis - diagnostic imaging Carotid Stenosis - therapy Cerebral Angiography Combined Modality Therapy Coronary Artery Bypass Humans Male Middle Aged Postoperative Complications - diagnostic imaging Stents |
| title | Asymptomatic carotid stenosis in patients undergoing major cardiac surgery: can percutaneous carotid angioplasty be an alternative? |
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