Comparison of nonneurological events in high-risk patients treated by carotid angioplasty versus endarterectomy - 26/08/11
, Brian Matteson, M.D. a, John M Marek, M.D. a, Mark Langsfeld, M.D. aAbstract |
Objective |
To compare results of carotid angioplasty and stenting (CAS) with carotid endarterectomy (CEA) in high cardiac risk patients.
Methods |
Patients ineligible for carotid revascularization by North American Symptomatic Carotid Endarterectomy Trial/Asymptomatic Carotid Atherosclerosis Study criteria were treated with CAS (n = 11) or CEA (n = 10).
Results |
Significant numbers had cardiac (CAS 72%, CEA 60%; P = 0.66) and hypertensive (CAS 82%, CEA 80%; P = 0.64) risk factors. Adverse hemodynamic events were more frequent in the CAS group (CAS 73%, CEA 20%; P = 0.03). Major complications were noted in 1 patient in each group (CAS, myocardial infarction; CEA, death). Postoperative stay was similar (CAS 2.1 ± 1.4, CEA 1.8 ± 1.1 days; P = 0.60). However, 4 in the CAS group were readmitted within 1 month (congestive heart failure 2, myocardial infarction 1, rest pain 1), compared with no new events in the CEA group (P = 0.09).
Conclusions |
Currently, the use of CAS in patients with cardiac risk factors may not be justifiable.
Le texte complet de cet article est disponible en PDF.Keywords : Carotid angioplasty, Carotid endarterectomy
Plan
Vol 185 - N° 4
P. 301-304 - avril 2003 Retour au numéro
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