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Effect of Carotid Angioplasty-Stenting on Mortality and Stroke FREE TO VIEW

Romeo B. Mateo, MD; Anthony L. Pucillo, MD; Wilbert S. Aronow, MD
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New York Medical College, Valhalla, NY


Chest. 2003;124(4_MeetingAbstracts):176S. doi:10.1378/chest.124.4_MeetingAbstracts.176S
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PURPOSE:  To investigate the effect of carotid angioplasty-stenting (CAS) on mortality and stroke.

METHODS:  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.

RESULTS:  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.

CLINICAL IMPLICATIONS:  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.

DISCLOSURE:  R.B. Mateo, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM




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