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Perioperative and follow-up results in carotid artery stenting with contralateral carotid occlusion

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Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Purpose

Contralateral carotid occlusion (CCO) increases the risk of carotid endarterectomy (CEA). We determined the outcome of carotid angioplasty and stenting (CAS), an alternative to CEA, in the setting of CCO through an independent analysis of imaging and clinical outcome.

Materials and methods

Medical records of 26 consecutive patients with CCO who underwent CAS by a single operator using the same procedural protocol (with distal protection and closed-cell stents) were retrospectively evaluated. National Institutes of Health Stroke Scale (NIHSS) and Modified Rankin Scale (mRS) scores before and after CAS, periprocedural complications, and the restenosis rate were analyzed by independent stroke neurologists who were not involved in the care of the patients.

Results

The median mRS score for the 26 patients was 1 (range 0–5) before and after CAS. All of the patients underwent clinical and imaging follow-up (mean 19.5 ± 14.3 and 11.6 ± 11.2 months, respectively). Thirty-day mortality/permanent morbidity rates were 0 %. One patient had hyperperfusion syndrome and was managed medically without sequelae; however, he had stent occlusion after 30 days, resulting in a decline in his mRS from 4 (preprocedure) to 5. Otherwise, there was no decline in mRS during the post-discharge follow-up.

Conclusion

According to an independent analysis of this single-operator series, CAS is safe and effective for the treatment of patients with CCO.

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Authors and Affiliations

  1. Department of Radiology, School of Medicine, Hacettepe University, Sıhhiye, 06100, Ankara, Turkey

    Ahmet Peker & Anil Arat

  2. Department of Neurology, School of Medicine, Ankara University, Ankara, Turkey

    Mine Hayriye Sorgun & Canan Togay Isikay

  3. Department of Neurology, School of Medicine, Hacettepe University, Ankara, Turkey

    Ethem Murat Arsava & Mehmet Akif Topcuoglu

Authors
  1. Ahmet Peker
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  2. Mine Hayriye Sorgun
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  3. Canan Togay Isikay
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  4. Ethem Murat Arsava
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  5. Mehmet Akif Topcuoglu
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  6. Anil Arat
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Corresponding author

Correspondence to Anil Arat.

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Ethical statement

This retrospective study was approved by our institutional review board.

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Peker, A., Sorgun, M.H., Isikay, C.T. et al. Perioperative and follow-up results in carotid artery stenting with contralateral carotid occlusion. Jpn J Radiol 34, 523–528 (2016). https://doi.org/10.1007/s11604-016-0554-2

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  • DOI: https://doi.org/10.1007/s11604-016-0554-2

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