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Carotid artery stenting: a single-centre experience with up to 8 years’ follow-up

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Abstract

Carotid artery stenting (CAS) may be an alternative to surgical endoarterectomy not only in high-risk patients. We report results in the endovascular treatment of carotid artery disease with up to 8 years’ follow-up. In this retrospective study, we analysed data from 853 consecutive patients (946 arteries) treated for carotid artery stenosis between April 1999 and March 2007; 491 (52%) arteries were symptomatic and 455(48%) were asymptomatic. Preprocedural evaluation of the patients was performed with echo Doppler, magnetic resonance angiography (MRA) or computed tomographic angiography (CTA) and a neurological examination. A cerebral protection device was used in 879 (92.9%) procedures. Anti-platelet therapy was administered before and after the procedure. All patients were included in a follow-up of up to 8 years. Technical success was achieved in 943 (99.6%) lesions. At 30 days, there was a 0.21% (n = 2) death rate, a 0.42% major stroke rate, a 1.69% minor stroke/transient ischaemic attack (TIA) rate and a combined 2.32% TIA/stroke and death rate. During follow-up, echo Doppler evidenced restenosis in 39 (4.85%) cases; of these, only five, presenting restenosis >80%, were treated with an endovascular reintervention. At the long-term follow-up, two strokes (0.23%) were reported, which both occurred within the first 2 years. In our experience, carotid artery stenting seems to be a safe and effective treatment, providing satisfactory long-term clinical results.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital “Tor Vergata”, 81 Oxford Street, 00133, Rome, Italy

    Giovanni Simonetti, Roberto Gandini, Enrico Pampana, Sebastiano Fabiano, Matteo Stefanini, Alessio Spinelli, Carlo Andrea Reale, Massimiliano Di Primio & Eleonora Gaspari

  2. Department of Internal Medicine, Unit of Cardiology, University Hospital “Tor Vergata”, 81 Oxford Street, 00133, Rome, Italy

    Francesco Versaci

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  1. Giovanni Simonetti
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  2. Roberto Gandini
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  3. Francesco Versaci
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  4. Enrico Pampana
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  5. Sebastiano Fabiano
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  6. Matteo Stefanini
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  7. Alessio Spinelli
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  8. Carlo Andrea Reale
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  9. Massimiliano Di Primio
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  10. Eleonora Gaspari
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Correspondence to Matteo Stefanini.

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Simonetti, G., Gandini, R., Versaci, F. et al. Carotid artery stenting: a single-centre experience with up to 8 years’ follow-up. Eur Radiol 19, 982–989 (2009). https://doi.org/10.1007/s00330-008-1207-3

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  • DOI: https://doi.org/10.1007/s00330-008-1207-3

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