作者
Brajesh K Lal, Robert W Hobson II, Jonathan Goldstein, Madge Geohagan, Elie Chakhtoura, Peter J Pappas, Zafar Jamil, Paul B Haser, Shubha Varma, Frank T Padberg, Joaquim J Cerveira
发表日期
2003/12/1
期刊
Journal of vascular surgery
卷号
38
期号
6
页码范围
1162-1168
出版商
Mosby
简介
OBJECTIVES
Carotid artery stenting has been proposed as an alternative to carotid endarterectomy in cerebral revascularization. Although early results from several centers have been encouraging, concerns remain regarding long-term durability of carotid artery stenting. We report the incidence, characteristics, and management of in-stent recurrent stenosis after long-term follow-up of carotid artery stenting.
METHODS
Carotid artery stenting (n = 122) was performed in 118 patients between September 1996 and March 2003. Indications included recurrent stenosis after previous carotid endarterectomy (66%), primary lesions in patients at high-risk (29%), and previous ipsilateral cervical radiation therapy (5%). Fifty-five percent of patients had asymptomatic stenosis; 45% had symptomatic lesions. Each patient was followed up with serial duplex ultrasound scanning. Selective angiography and repeat intervention …
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BK Lal, RW Hobson II, J Goldstein, M Geohagan… - Journal of vascular surgery, 2003