Carotid Angioplasty with Stent

pp 219-227

Abstract

The stroke is a highly prevalent disease, due to a carotid obstruction in about 20-30%of the cases. Surgical endarterectomy had demonstrated to achieve better long-term results than medical treatment. In recent years a lot of work published in the international literature was devoted to carotid angioplasty supporting this usage. This is a prospective series of 71patients with 81 carotid stent assisted angioplastic procedures, with 96.3%of clinical success. Mayor stroke incidence was 1.2%, minor stroke 2.5%, transient ischaemic attack 1.2% and any stroke of any cause or deaths within 30 days was3.7%.Restenosis incidence at long-term follow-up (meantime 14 months) was 4.5% (3.9% by procedure). There were not any ipsilateral ischaemic events at follow-up, and there was a high incidence of non-procedural related events at follow-up that would be due to a severe vascular disease of the treated population.