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Elective stenting of carotid artery stenosis in patients with severe coronary artery disease

Item Type:Article
Title:Elective stenting of carotid artery stenosis in patients with severe coronary artery disease
Creators Name:Waigand, J. and Gross, C.M. and Uhlich, F. and Kramer, J. and Tamaschke, C. and Vogel, P. and Luft, F.C. and Dietz, R.
Abstract:AIMS: To evaluate the feasibility and safety of elective carotid stent implantation in patients with carotid stenoses and concomitant coronary artery disease, as an alternative to combined carotid and coronary surgery. METHODS: We treated 50 patients with >70%, stenoses in 53 carotid arteries with balloon angioplasty followed by elective stent implantation. All patients had severe coronary artery disease, and/or mitral insufficiency, aortic stenosis, rhythm disorders or generalized arteriosclerosis. In three patients the opposite carotid artery was occluded; nine patients had bilateral stenoses of which two received stents bilaterally. RESULTS: Fifty-six successful stent implantations (42 Wallstents, eight BeStents, two AVE-Microstents, one Palmaz Schatz stent, three Sito stents) were performed, reducing the baseline percent stenosis from 78 +/- 18%, to 13 +/- 11%. Complications included three transient ischaemic attacks, one minor and one major stroke. Follow-up was available for 46 patients over a mean of 10 months. Three asymptomatic restenoses and one deformation of a BeStent occurred. CONCLUSION: Our preliminary results indicate that carotid artery stenting in patients with concomitant severe coronary artery disease is feasible, safe, and may be an alternative to combined carotid and coronary surgery.
Keywords:Angiography, Balloon Angioplasty, Carotid Stenosis, Coronary Artery Bypass, Coronary Disease, Follow-Up Studies, Prognosis, Stents, Elective Surgical Procedures, Treatment Outcome
Source:European Heart Journal
ISSN:0195-668X
Publisher:Oxford University Press (U.K.)
Volume:19
Number:9
Page Range:1365-1370
Date:1 September 1998
Official Publication:https://doi.org/10.1053/euhj.1998.1048
PubMed:View item in PubMed

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