Carotid endarteriectomy and carotic stenting. Pilot study of a prospective, randomized and controlled comparison

Link, Johann and Manke, C. and Rosin, L. and Borisch, I. and Toepel, I. and Horn, M. and Mann, S. and Jauch, K. W. and Bogdahn, Ulrich and Feuerbach, S. and Kasprzak, P. (2000) Carotid endarteriectomy and carotic stenting. Pilot study of a prospective, randomized and controlled comparison. RADIOLOGE, 40 (9). pp. 813-820. ISSN 0033-832X

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Abstract

Introduction. A prospective, randomized and controlled trial is conducted to compare carotid endarterectomy and carotid stenting in high grade symptomatic carotid artery stenoses. Methods. According to the study design symptomatic patients with a angiographically highgrade (greater than or equal to 70%) internal carotid artery stenosis are included. Pre- and postinterventional diagnostics during the hospitalization period includes neurological assessment, duplex sonography of the cervical and cerebral arteries and magnetic resonance imaging of the brain. Follow-up examinations are scheduled after 1,6 and 12 months and consist of a neurological assessment and duplex sonography. After 12 months selective angiography and magnetic resonance imaging of the brain will be performed additionally. During a period of 9 months up to now 23/137 patients treated for a carotid artery stenosis were included in the study,ll patients underwent surgery and 12 patients carotid stenting. Results. Carotid stenting and endarterectomy was primarily successful without residual stenosis >30% in each patient without the occurence of stroke or death. In 18 follow-up examinations (neurological assessment including duplex sonography) of 13 patients (13 follow-up examinations after 30 days, 5 after 6 months) no relevant restenosis and no stroke occured. Conclusion. As of yet, carotid stenting was a safe procedure. Due to the small number of patients a definitive conclusion can not be drawn.

Item Type: Article
Uncontrolled Keywords: STENOSIS; ENDARTERECTOMY; ANGIOPLASTY; PLACEMENT; STROKE; ANTIPLATELET; CLOPIDOGREL; OCCLUSION; ASPIRIN; carotid artery stenosis; carotid stenting; endarterectomy; prospective, randomized and controlled study
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Neurologie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Mar 2022 04:39
Last Modified: 29 Mar 2022 04:39
URI: https://pred.uni-regensburg.de/id/eprint/42258

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