Carotid artery stenting: Single center experience and clinical consequences
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 4
Abstract
Objective: In this study, we aimed to present the characteristics and short-term clinical outcomes of the patients admitted to our clinic with a diagnosis of carotid artery disease and revascularized by carotid artery stenting (CAS). Methods: The study was retrospective and a single-centered study. Between May 2012 and May 2014 the patients with an indication for carotid artery intervention and accepted CAS procedure were included in the study. Clinical characteristics and procedural data of the patients were obtained by scanning patient files. After discharge, hospital records were scanned and patients were called to learn whether or not patients were alive and that they have suffered a recent stroke. Results: We included 26 patients that meet the inclusion criteria in the study. 69% of patients were female with a mean age of 66 ± 9 years. 73% of patients were symptomatic, 73% had hypertension, 27% had diabetes mellitus, 39% had hyperlipidemia, 69% had coronary artery disease and 31% were active smoker. In all patients, self-expandable stents and distal embolic protection devices were used. 18 left, six right, and two bilateral (in separate sessions) carotid arteries were stented with a total of 26 patients and 28 successful CAS. Due to residual stenosis a second stent was implanted only in one patient. One patient experienced a partial muscle weakening in upper extremity due to an air embolism, which recovered spontaneously in 24 hours. Patients were followed for 11.5 ± 8 (minimum 2-maximum 27, median 10) months. During follow-up, no patients had recurrent stroke and transischemic attack. One patient died after eight months of CAS. Conclusion: CAS is being successfully applied with a very low risk of complications in experienced centers. Short-term clinical results of CAS are quite satisfactory. Key words: stroke, carotid artery stenosis, carotid artery stenting, clinical outcomes
Authors and Affiliations
Nihat Polat, Mehmet Elbey, Eşref Akıl, Habib Çil, Necdet Özaydoğdu, Murat Çaylı
Adölesan Gebelerin Maternal ve Fetal Sonuçlarının Değerlendirilmesi
Amaç: Bu çalışmada amacımız hastanede karşılaştığımız adölesan gebeliklerdeki maternal ve fetal sorunlar ile adölesan olmayan gebeliklerde görülen maternal ve fetal sorunları karşılaştırılarak tartışmaktır. Yöntemler:...
Videoflorografide saptanan bir özofagorespiratuar fistül olgusu
Bu olgu bildirisinde, yemek sırasında tekrarlayan öksürme ve boğulma nöbetleri olan 59 yaşında bir kadın hasta sunulmuştur. Geçmişinde, mediastinal lenf bezlerinde metastatik tümör bulunması nedeniyle radyasyon ve kem...
Şanlıurfa ilindeki doğurganlık çağındaki kadınlarda Rubella antikorlarının araştırılması: Üç yıllık değerlendirme
Amaç: Bu çalışmada, 01.01.2007-31.12.2009 tarihleri arasında Şanlıurfa Kadın Hastalıkları ve Doğum Hastanesi’ne başvuran risk grubunu oluşturan doğurganlık çağındaki kadınlarda rubella virüsüne karşı oluşan antikorlar...
Left ventricular microfistulization: A rare cause of ischemia in a patient with normal coronary arteries
A 71-year-old woman with chest pain occurring on physical exercise was admitted to cardiology department. Myocardial perfusion scintigraphy revealed inferior and anteroapical segment hypoperfusion. Selective coronary...
Primer mesane yerleşimli koryokarsinom olgusu
Koryokarsinom sıklıkla kadınlarda uterusta ve overlerde, erkeklerde testiste gelişim gösteren kötü prognozlu bir tümördür. Primer mesane yerleşimli koryokarsinom ise oldukça nadir olarak görülmektedir. Solunum güçlüğü,...