Abstract
An: 2014, Nr.3, Articol Nr. 17
Title: 

PERIPROCEDURAL COMPLICATIONS OF THE CAROTID ARTERY STENTING

Authors: 

      R. Stănciulescu, C. Panţu, F. M. Filipoiu - University of Medicine of Pharmacy „Carol Davila”, Bucharest, Department of Morphological Sciences, Anatomy Discipline
      B. Dorobăţ, A. Dimitriade - Emergency Hospital of Bucharest, Bucharest, Interventional Radiology Department University
      L. Stănciulescu - Institute of Oncology, Bucharest
      PERIPROCEDURAL COMPLICATIONS OF THE CAROTID ARTERY STENTING (Abstract): Studies for short and long-term complications in the treatment of internal carotid artery stenosis reported that carotid artery stenting was as effective as carotid artery endarterectomy in the middle-term prevention of stroke. The present report is part of an ongoing study that evaluates the treatment choice such as carotid artery stenting or carotid artery endarterectomy for increased degree of carotid stenosis. The study contains 192 consecutive carotid artery stenting procedures for the same number of patients, 102 men and 90 women, with an average age of 65.7 years (range between 45–85 years) treated from January 2012 to March 2014. The stenting procedures were performed on 71 patients with symptomatic carotid artery stenosis, with a severity of ≥50%, and 121 asymptomatic patients with a stenosis severity of ≥70%. The interventional procedure was chosen in the presence of high-risk conditions for surgery or at patient request. The rate of periprocedural complications in our study was mostly related to hemodynamic instability, in particular the changes of arterial tension which was observed in several cases ( 8 cases (4.16%) of arterial hypotension episodes, 7 (3,64%) cases of arterial hypertension episodes and 9 (4,68%) cases of bradycardia) and neurological events regarding 8 (4.16%) patients which developed transient ischemic attack, lasting less than 24 h. This report highlights the safety and low rate of periprocedural complications associated with this carotid artery stenting.
Key words: INTERNAL CAROTID ARTERY, CAROTID ARTERY STENTING
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