To investigate the effect of carotid angioplasty-stenting (CAS) on mortality and stroke.
CAS was attempted in 78 carotid arteries in 74 patients (45 men and 29 women), mean age 67±10 years, with significant occlusive internal carotid arterial disease and was technically successful in 77 of 78 arteries (99%). Of 77 arteries with successful CAS, 34 arteries (44%) were associated with prior carotid endarterectomy with recurrence of occlusive arterial disease, and 43 arteries (56%) were associated with primary CAS. High-risk categories (prior carotid endarterectomy, cardiac symptoms, respiratory symptoms, radiation therapy to neck, high lesion, or end-stage renal disease) were present in 68 of the 74 patients (92%) undergoing CAS.
None of the 74 patients (0%) who underwent CAS died. Minor stroke developed in 3 of the 74 patients (4%) who underwent CAS.CONCLUSIONS: CAS can be performed in patients with significant occlusive internal carotid arterial disease and high-risk categories with a low incidence of mortality plus stroke.
The results from CAS compare very favorably with carotid endarterectomy in the treatment of symptomatic and asymptomatic patients with significant occlusive internal carotid arterial disease.
R.B. Mateo, None.