Background Carotid artery stenting (CAS) has emerged as a potential alternative to endarterectomy and its clinical practise dramatically increased in many parts of the world. This study aims to determine the safety and post-procedural complication of carotid artery stenting at a single-center institution in Korea.
Patients and methods We retrospectively analyzed all CAS procedures performed at our institution between March 2009 and February 2013.
Results During the observation period, a total of 87 CAS procedures were attempted in 79 patients with stenoses of the internal carotid artery of which 66 (75.9%) were symptomatic and 21 (24.1%) were asymptomatic. The patient group comprised 69 men (87.3%) and 10 women (12.7%) with a mean age of 67.9 years (range, 49–83 years). Stents were successfully inserted in 85 (97.7%) cases. Post-procedural vascular events to discharge occurred in 10 patients (3 cases of cerebral hyperperfusion syndrome, 7 cases of ischemic stroke). Among 10 patients, death and a permanent severe neurologic deficit occurred in 3 patients with cerebral hyperperfusion syndrome and 1 patient with ischemic stroke.
Conclusions Post-procedural death or a permanent severe neurologic deficit after CAS occurred due to mainly hyperperfusion syndrome in our study.
Disclosures J. Lee: None.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.