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Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
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Carotid angioplasty and stenting in octogenarians: is it safe?

M Henry1,2, I Henry3, A Polydorou4

  • 1Cabinet de Cardiologie, Nancy, France.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|August 30, 2008
PubMed

Insights

Carotid artery stenting (CAS) in octogenarians shows comparable safety to younger patients. Meticulous technique and protection devices are crucial for successful CAS in the elderly.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Geriatric Medicine

Background:

  • Elderly patients face increased risks with carotid endarterectomy.
  • Carotid artery stenting (CAS) is an alternative revascularization procedure.

Purpose of the Study:

  • To evaluate the safety and efficacy of CAS in octogenarians.
  • To compare CAS-related risks in patients aged 80 and above versus younger patients.

Main Methods:

  • A retrospective analysis of 930 CAS procedures in 870 patients.
  • Patients were stratified into two groups: <80 years (749 patients) and >80 years (121 patients).
  • Outcomes assessed included 30-day neurological complications, death, and myocardial infarction (MI), with and without protection devices.

Main Results:

  • Technical success rates were high in both groups: 804/806 (<80 years) and 123/124 (>80 years).
  • The composite endpoint of death/stroke/MI was 1.8% in patients <80 years and 17% in patients >80 years without protection.
  • In patients >80 years, the death/stroke/MI rate was 17% without protection and not specified with protection, but no major stroke or death occurred.

Conclusions:

  • CAS can be safely performed in octogenarian patients.
  • Careful patient selection, meticulous technique, and the use of protection devices are essential for minimizing complications.
  • Specific technical considerations are necessary to optimize outcomes in elderly patients undergoing CAS.
Abstract

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