[Endovascular therapy of high-degree stenoses of the neck vessels-stent-supported percutaneous angioplasty of the carotid artery without cerebral protection]
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[Endovascular therapy of high-degree stenoses of the neck vessels-stent-supported percutaneous angioplasty of the carotid artery without cerebral protection]. / Koch, C; Kucinski, T; Eckert, B; Wittkugel, Oliver; Röther, J; Zeumer, Hermann.
in: ROFO-FORTSCHR RONTG, Jahrgang 174, Nr. 12, 12, 2002, S. 1506-1510.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Endovascular therapy of high-degree stenoses of the neck vessels-stent-supported percutaneous angioplasty of the carotid artery without cerebral protection]
AU - Koch, C
AU - Kucinski, T
AU - Eckert, B
AU - Wittkugel, Oliver
AU - Röther, J
AU - Zeumer, Hermann
PY - 2002
Y1 - 2002
N2 - PURPOSE: Technical essentials and therapeutic results of carotid stenting without cerebral protection are presented. MATERIALS AND METHODS: In 161 patients, 167 high grade carotid stenoses were stented, followed by percutaneous transluminal angioplasty, with subsequent evaluation of the clinical and angiographic results. Diffusion-weighted MRI was carried out in 108 patients to detect cerebral sequelae. RESULTS: Endovascular therapy was successful (residual stenosis <25 %) in 166 stenoses (99.4 %). Twelve patients (7.5 %) had cerebrovascular complications within the 30-day perioperative period, seven of which occurred during the procedure. After treatment, diffusion-weighted MRI disclosed at least one new cerebral lesion in 40 patients (37 %), which were symptomatic in six patients. CONCLUSION: Even without cerebral protection, high grade carotid stenosis can be safely treated with stent-protected percutaneous angioplasty. Microemboli detected by postoperative MRI are infrequently symptomatic.
AB - PURPOSE: Technical essentials and therapeutic results of carotid stenting without cerebral protection are presented. MATERIALS AND METHODS: In 161 patients, 167 high grade carotid stenoses were stented, followed by percutaneous transluminal angioplasty, with subsequent evaluation of the clinical and angiographic results. Diffusion-weighted MRI was carried out in 108 patients to detect cerebral sequelae. RESULTS: Endovascular therapy was successful (residual stenosis <25 %) in 166 stenoses (99.4 %). Twelve patients (7.5 %) had cerebrovascular complications within the 30-day perioperative period, seven of which occurred during the procedure. After treatment, diffusion-weighted MRI disclosed at least one new cerebral lesion in 40 patients (37 %), which were symptomatic in six patients. CONCLUSION: Even without cerebral protection, high grade carotid stenosis can be safely treated with stent-protected percutaneous angioplasty. Microemboli detected by postoperative MRI are infrequently symptomatic.
M3 - SCORING: Zeitschriftenaufsatz
VL - 174
SP - 1506
EP - 1510
JO - ROFO-FORTSCHR RONTG
JF - ROFO-FORTSCHR RONTG
SN - 1438-9029
IS - 12
M1 - 12
ER -
