계명대학교 의학도서관 Repository

The 10-year Trend of Periprocedural Complication Following Carotid Artery Stenting; Single Center Experience

Metadata Downloads
Author(s)
홍정호
Alternative Author(s)
Hong, Jeong Ho
Publication Year
2015
Abstract
Purpose

Carotid endarterectomy and stenting are used to treat carotid stenosis, with the volume of carotid artery procedures increasing over the past decade. We investigated the 10-year trend of periprocedural complications with an increasing procedure volume of carotid stenting at a single tertiary hospital.


Methods

We collected 416 consecutive cases (384 patients) of carotid artery stenting performed for either symptomatic (231 cases, 55.5 %) or asymptomatic (185 cases, 44.5 %) internal carotid artery stenosis at a single center. Periprocedural complication was defined as any stroke, myocardial infarction, or death. Procedure-related outcome included any dissection, hemodynamic event, or periprocedural complication.


Results

The mean age was 68.8 years (82.8 % males; range of 20–89 years); 23.9 % were older than 75 years. Before the procedure, 99.3 and 56.0 % of patients received antiplatelet and lipid-lowering medication, respectively. The overall periprocedural complication rate was 3.6 % (1.6 and 5.2 % in the asymptomatic and symptomatic group, respectively). The composite outcome of any stroke or death was 3.4 %. Periprocedural complication and procedure-related outcome showed a decremental trend with increasing procedure volume, and this trend remained after adjusting for confounders.


Conclusions

Our study suggests that carotid stenting at an experienced center might reduce the periprocedural complications. Our periprocedural complication rate of carotid artery stenting may be comparable to, or somewhat lower than, that reported in other clinical trials.


Keywords
Carotid stenting – Carotid stenosis – Cerebral infarction – Cerebrovascular disease
Department
Dept. of Neurology (신경과학)
Publisher
School of Medicine
Citation
Cardiovascular and Interventional Radiology, Vol.38(2) : 280-287, 2015
Type
Article
ISSN
0174-1551
DOI
10.1007/s00270-014-0917-y
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35366
Authorize & License
  • AuthorizeOpen
  • EmbargoForever
Files in This Item:

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.