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The Clinical Outcomes of 75 Consecutive Patients with Cervical Carotid Artery Stenosis Treated by Carotid Artery Stenting

Chung, Joon-Ho    (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea   ); Shin, Yong-Sam    (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea   ); Lim, Yong-Cheol    (Department of Neurosurgery, Ajou University School of Medicine   ); Park, Sang-Kyu    (Department of Neurosurgery, Incheon St. Mary's Hospital, The Catholic University of Korea  );
  • 초록

    Objective : The purpose of this study was to analyze the clinical outcome of 75 consecutive patients with cervical carotid artery stenosis and who were treated by carotid artery stenting (CAS) only. Methods : From February 2003 to June 2008, there were 78 stents placed in 75 symptomatic patients (mean age : 67.3 years); 69 patients had carotid stenosis ${\geq}70%$ , and 6 patients had asymptomatic stenosis ${\geq}80%$ . No carotid endarterectomy (CEA) was performed during the same period. The patients were clinically followed-up for a mean of 20.1 months. Results : The procedures were technically successful in all cases. Three (3.8%) patients had procedure-related complications. During the 30-day postprocedural period, there were no restenosis or major stroke. Minor stroke was noticed in 3 (3.8%) patients and 1 (1.3%) of the 75 patients suddenly expired 2 days after discharge. There were no new neurological symptoms that developed during the clinical follow-up period. The results of our series were not inferior to those the previously published in CAS studies, and in fact they were better. Conclusion : Our results suggest that CAS may be safe and useful for the treatment of cervical carotid artery stenosis when it is used as the first line treatment in those institutions that lack enough experience with CEA.


  • 주제어

    Carotid artery stenosis .   Carotid artery stenting .   Carotid endarterectomy .   Stroke.  

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    2. 2009 "Ideal Internal Carotid Artery Trapping Technique without Bypass in a Patient with Insufficient Collateral Flow" Journal of Korean Neurosurgical Society = 대한신경외과학회지 45 (4): 260~263    
    3. 2011 "Angio-$Seal^{TM}$ $Evolution^{TM}$ versus Manual Compression for Common Femoral Artery Puncture in Neurovascular Diagnostic Angiography: A Prospective, Non-Randomized Study" Journal of Korean Neurosurgical Society = 대한신경외과학회지 49 (3): 153~156    
  • 임용철 (6)

  • Park, Sang Kyu (5)

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