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Title: Carotid artery stenting: Results and long-term follow-up
Authors: Gupta, AK
Purkayastha, S
Kapilamoorthy, TR
Nair, MD
Krishnamoorthy, T
Rupa, S
Kesavadas, C
Bodhey, NK
Thomas, B
Keywords: Cardiology
Issue Date: 2006
Citation: NEUROLOGY INDIA. 54; 1; 68-72
Abstract: Background and Purpose: The role of carotid artery stenting (CAS) as an alternative to carotid endarterectomy in the treatment of for symptomatic carotid artery stenosis is investigated. Materials and Methods: Forty-seven patients underwent CAS over 10-year period. Forty-nine vessels were treated. Stenosis quantification was done using North American symptomatic carotid endarterectomy trial method. The mean follow-up period by clinical and Duplex examination ranged is 5.6 years. Results: The technical success rate was 100%. There were four deaths (8.1%) and two (4.1%) minor strokes within thirty days of procedure. There was no major strokes. All patients with minor stroke achieved complete recovery at 1-month follow up. Two deaths occurred probably due to hyperperfusion syndrome (HS) and two due to cardiac arrest. Conclusion: CAS is an effective treatment modality of symptomatic carotid artery disease but should be carefully done in high-risk groups having severe medical ailments and those having severe bilateral stenosis of the carotid arteries.
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