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ORIGINAL ARTICLE
Year : 2006  |  Volume : 54  |  Issue : 1  |  Page : 68--72

Carotid artery stenting: Results and long-term follow-up

AK Gupta1, S Purkayastha1, TR Kapilamoorthy1, MD Nair1, T Krishnamoorthy1, S Rupa2, C Kesavadas1, NK Bodhey1, B Thomas1 
1 Departments of Radiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
2 Departments of Anesthesiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India

Correspondence Address:
A K Gupta
Department of Radiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum
India

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.


How to cite this article:
Gupta A K, Purkayastha S, Kapilamoorthy T R, Nair M D, Krishnamoorthy T, Rupa S, Kesavadas C, Bodhey N K, Thomas B. Carotid artery stenting: Results and long-term follow-up.Neurol India 2006;54:68-72


How to cite this URL:
Gupta A K, Purkayastha S, Kapilamoorthy T R, Nair M D, Krishnamoorthy T, Rupa S, Kesavadas C, Bodhey N K, Thomas B. Carotid artery stenting: Results and long-term follow-up. Neurol India [serial online] 2006 [cited 2019 Dec 12 ];54:68-72
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2006;volume=54;issue=1;spage=68;epage=72;aulast=Gupta;type=0