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Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association v.27 no.1, 2018년, pp.83 - 91   SCIE
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The Safety of Carotid Artery Stenting for Patients in the Acute Poststroke Phase

Seguchi, Masaru (Address correspondence to Masaru Seguchi, MD, Department of Neuro-Endovascular Therapy, Stroke Center, Ise Red-cross Hospital, Funae 1-471-2, Ise-city, Mie 516-8512, Japan. ) ; Shibata, Masunari ; Sato, Yu ; Maekawa, Kota ; Kitano, Yotaro ; Sano, Takanori ; Kobayashi, Kazuto ; Shimizu, Shigetoshi ; Miya, Fumitaka ;
  • 초록  

    Background The efficacy of carotid artery stenting (CAS) for patients in the acute poststroke phase has not been established. We investigated the outcome of CAS for patients with symptomatic internal carotid artery (ICA) stenosis in the acute poststroke phase. Methods We performed a retrospective analysis of all patients who underwent CAS for symptomatic ICA stenosis in our institution. Patients in whom the time interval between neurological deterioration and the CAS procedure was less than 3 days were included in the early group, and the other patients were included in the delayed group. Perioperative complications including major adverse events (MAEs) were compared between the early and the delayed groups. Results One hundred five patients were included in the study. Forty patients were assigned to the early group and 65 patients were assigned to the delayed group. The overall MAE rate was 4.8%. There was no significant increase in the perioperative MAE in the early group compared with the delayed group (early group 2.5% versus delayed group 6.5%, P = .65). In the early group, 25 of 40 patients (62.5%) were functionally independent (modified Rankin scale [mRS] score of 0-2) at discharge. Significant differences between the independent patients and the disabled patients (mRS score of 3-6) included age (independent 72 versus disabled 79, P P = .02). Conclusions CAS performed within 3 days from the last ischemic event did not increase the risk of perioperative complication. Early CAS may be a useful option for the treatment of symptomatic carotid artery stenosis.


  • 주제어

    Complication .   emergency .   intervention .   ischemic stroke .   urgent care.  

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