NDLI: Carotid artery stenting: Influence of experience and cerebrovascular risk factors on outcome.

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Carotid artery stenting: Influence of experience and cerebrovascular risk factors on outcome.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Carrafiello, G. De Lodovici, M. L. Piffaretti, G. Rivolta, N. Ierardi, A. M. Petrillo, M. Facchinetti, A. Carimati, F. Verrengia, E. P. Mauri, M. Tsetis, D.
Description	Author Affiliation: Carrafiello G ( Radiology Department, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy. Electronic address: gcarraf@gmail.com.); De Lodovici ML ( Neurological Department and Stroke Unit, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Piffaretti G ( Vascular Surgery Department, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Rivolta N ( Vascular Surgery Department, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Ierardi AM ( Radiology Department, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Petrillo M ( Radiology Department, Second University of Naples, Piazza Miraglia 8, 84010 Naples, Italy.); Facchinetti A ( Neurological Department and Stroke Unit, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Carimati F ( Neurological Department and Stroke Unit, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Verrengia EP ( Neurological Department and Stroke Unit, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Mauri M ( Neurological Department and Stroke Unit, Unisubria, Ospedale di Circolo, Viale Borri 57, 21100 Varese, Italy.); Tsetis D ( Interventional Radiology, Heraklion University Hospital, Heraklion, Crete.)
Abstract	AIM: To evaluate technical success, complications and the influence of the learning curve on outcome in carotid artery stenting (CAS) performed in patients not suitable for surgery. PATIENTS AND METHODS: One hundred and nine procedures of protected carotid stenting in 103 high risk patients were performed. All patients presented at least one factor that potentially increased the surgical risk of carotid endoarterectomy (CEA), according to SAPPHIRE criteria. Neurologic complications were quantified by the National Institutes of Health Stroke Scale (NIHSS) and were evaluated by median Rankin Scale (mRS). To evaluate the influence of experience of the operator to perform CAS, we retrospectively analyzed periprocedural and neurological complications of the first 50 procedures compared with that of the following 59 interventions. RESULTS: Technical success rate was 98%. Neurological periprocedural complications were revealed in 4.5% of patients. In-hospital and 30-days neurological complications rate was 7.6 and 2.6% respectively. Periprocedural neurological complications rate was lower in the last procedures performed, according to a higher confidence of the operators. CONCLUSIONS: CAS may be performed as an alternative of CEA for the treatment of severe carotid obstructive disease in patients not suitable for surgery. The learning curve positively influence complications rate.
File Format	HTM / HTML
Issue Number	4
Volume Number	95
e-ISSN	22115684
Journal	Diagnostic and Interventional Imaging
Language	English
Publisher	Elsevier
Publisher Date	2014-04-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Diagnostic Imaging Discipline Radiology Carotid Arteries Surgery Carotid Stenosis Cerebrovascular Disorders Prevention & Control Stents Aged Aged, 80 And Over Complications Etiology Clinical Competence Female Follow-up Studies Humans Male Middle Aged Retrospective Studies Risk Factors Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article

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