Periprocedural Thromboembolic Events Associated with Angioplasty and Stenting of the Extra- and Intracranial Carotid Artery Assessed by Neurological Status and Diffusion-Weighted Magnetic Resonance Imaging (DWI)
Joint Authors
Lieb, Johanna
Ahlhelm, Frank
Ahlhelm, Dirk
Ulmer, Stefan
Reith, Wolfgang
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The purpose of this study was to determine the frequency of thromboembolic events associated with angioplasty and stenting of the carotid artery with special regard to extra- or intracranial localization of stenosis.
Methods.
Twenty patients with symptomatic intracranial or extracranial internal carotid artery stenosis were treated with stenting and/or angioplasty.
In 4 patients stenting was technically not feasible (all in the group with intracranial stenosis).
All patients underwent diffusion-weighted imaging (DWI) and neurological examination within 48 hours before and after the procedure to detect periprocedural thrombembolic events.
Results.
Extracranial carotid angioplasty and stenting (eCAS) was technically feasible and successfull without procedure-related neurological complications in all cases.
Intracranial stenting (iCAS) was not feasible in four cases including one patient with a fateful course.
Concerning the restoration of the vessel diameter intracranial stenting was not as successful as eCAS, but more effective than balloon angioplasty alone.
Incidence of thrombembolic events assessed by DWI was low.
The detected periprocedural thrombembolic events were small and clinically silent.
Conclusion.
The risk of thromboembolic events during the endovascular treatment of symptomatic carotid artery stenosis was rather low for intra- and extracranial stenosis of the ICA in our patient sample, but one fatal course was observed.
American Psychological Association (APA)
Ahlhelm, Frank& Lieb, Johanna& Ulmer, Stefan& Ahlhelm, Dirk& Reith, Wolfgang. 2012. Periprocedural Thromboembolic Events Associated with Angioplasty and Stenting of the Extra- and Intracranial Carotid Artery Assessed by Neurological Status and Diffusion-Weighted Magnetic Resonance Imaging (DWI). ISRN Vascular Medicine،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-513566
Modern Language Association (MLA)
Ahlhelm, Frank…[et al.]. Periprocedural Thromboembolic Events Associated with Angioplasty and Stenting of the Extra- and Intracranial Carotid Artery Assessed by Neurological Status and Diffusion-Weighted Magnetic Resonance Imaging (DWI). ISRN Vascular Medicine No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-513566
American Medical Association (AMA)
Ahlhelm, Frank& Lieb, Johanna& Ulmer, Stefan& Ahlhelm, Dirk& Reith, Wolfgang. Periprocedural Thromboembolic Events Associated with Angioplasty and Stenting of the Extra- and Intracranial Carotid Artery Assessed by Neurological Status and Diffusion-Weighted Magnetic Resonance Imaging (DWI). ISRN Vascular Medicine. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-513566
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513566