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[Endoluminal therapy in carotid stenosis]
K Mathias1, H Jäger, H M Gissler
1Radiologische Klinik, Städtischen Kliniken Dortmund Beurhausstr. 40 44137 Dortmund.
Zeitschrift Fur Kardiologie
|January 10, 2001
Summary
Stent angioplasty for carotid artery stenosis is a safe and effective endovascular treatment. This minimally invasive procedure offers comparable outcomes to surgery with reduced patient trauma and costs.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Context:
- Atherosclerotic carotid artery stenosis poses a significant risk of stroke.
- Surgical carotid endarterectomy has been the traditional treatment.
- Endovascular approaches offer an alternative treatment modality.
Purpose:
- To evaluate the efficacy and safety of stent angioplasty for carotid artery stenosis.
- To compare endovascular treatment outcomes with carotid surgery.
- To identify patient subgroups who may benefit from stent angioplasty.
Summary:
- Stent angioplasty demonstrated a 99% success rate in 912 treated vessels.
- Permanent neurological deficit rate was 2.7%.
- Indications include symptomatic stenosis >70% and asymptomatic stenosis >80%.
Impact:
- Endovascular treatment shows comparable early and late results to carotid surgery.
- Stent angioplasty is less invasive, reduces hospital stay, and lowers treatment costs.
- It provides a viable option for patients unsuitable for or at high risk with surgery.