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Peri-interventional neurological complication rates in patients undergoing carotid artery stenting depend on the side of the stenosis treated

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An Erratum to this article was published on 09 June 2017

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Abstract

CAS has emerged as an alternative to carotid endarterectomy for the treatment of significant carotid artery stenosis. We investigated if the side of the stenosis treated has an influence on the neurological outcome of our patients. CAS was performed in 1124 patients at our center. The left carotid artery (group L) was intervened in 557 and the right carotid artery (group R) in 567 patients. Data of both patient groups were analyzed with respect to the total rate of peri-interventional ischemic cerebral events, defined as transient ischemic attacks, minor and major strokes, respectively. The total peri-interventional ischemic cerebral event rate was 10.1% in group L and 6.7% in group R (p = 0.042), respectively. The routine use of a filter wire resulted in a significant reduction of complication rates in group L (from 14.7 to 7.1%; p = 0.005) but not in group R (from 7.8 to 6.0%; p = 0.505). Ischemic cerebral events did not differ between group L and R, when only patients in whom a filter wire was used were analyzed (7.1% in group L and 6.0% in group R, p = 0.174). Peri-interventional ischemic cerebral complication rates in patients undergoing CAS differ with respect to the side treated. This may be due to a more frequent plaque mobilization caused by the guiding catheter.

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Change history

  • 09 June 2017

    An erratum to this article has been published.

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Authors and Affiliations

  1. Department of Cardiology, Kepler University Hospital Linz, Krankenhausstrasse 9, 4021, Linz, Austria

    Kammler Juergen, Blessberger Hermann, Lambert Thomas, Kellermair Joerg, Nahler Alexander, Schwarz Stefan, Reiter Christian, Grund Michael, Kypta Alexander & Steinwender Clemens

  2. Department of Internal Medicine II, Paracelsus Medical University Salzburg, Salzburg, Austria

    Lichtenauer Michael, Kypta Alexander & Steinwender Clemens

Authors
  1. Kammler Juergen
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  2. Blessberger Hermann
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  3. Lichtenauer Michael
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  4. Lambert Thomas
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  5. Kellermair Joerg
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  6. Nahler Alexander
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  7. Schwarz Stefan
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  8. Reiter Christian
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  9. Grund Michael
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  10. Kypta Alexander
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Correspondence to Kammler Juergen.

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All authors take responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation. There are no commercial associations that might pose a conflict of interest. This statement holds true for all authors.

Additional information

An erratum to this article is available at https://doi.org/10.1007/s00380-017-1004-5.

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Juergen, K., Hermann, B., Michael, L. et al. Peri-interventional neurological complication rates in patients undergoing carotid artery stenting depend on the side of the stenosis treated. Heart Vessels 32, 1169–1174 (2017). https://doi.org/10.1007/s00380-017-0986-3

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