Journal article
Early and mid-term outcomes of carotid angioplasty and stent placement in 579 patients
Journal of neuroimaging, Vol.32(6), pp.1161-1169
11/01/2022
DOI: 10.1111/jon.13036
PMID: 35969379
Abstract
Background and Purpose Carotid angioplasty and stenting (CAS) could be considered for preventing stroke in patients with carotid artery stenosis. This study aimed to determine the incidence and the risk factors of the early and mid-term complications associated with CAS. Methods This is a retrospective cohort study conducted at Shiraz University of Medical Sciences from March 2011 to March 2019. Patients at high risk and standard risk for carotid endarterectomy were included. The primary composite outcome was defined as stroke, myocardial infarction (MI), and death in the first 30 days after CAS. All-cause mortality, vascular mortality, and stroke were investigated during mid-term follow-up. Results A total of 579 patients (618 CAS) were recruited (mean age: 71.52 years). Overall, 394 (68.40%), 211 (36.63%), 179 (31.07%), and 96 (16.72%) patients had hypertension, dyslipidemia, diabetes mellitus, or were cigarette smokers, respectively. Primary composite outcomes were observed in 2.59% of patients (1.55% stroke, 0.69% MI, and 1.72% death). Atrial fibrillation was a predictor of primary composite outcome in multivariate logistic regression (p = .048). The presence of total occlusion in the contralateral carotid artery was significantly associated with the risk of stroke in univariate logistic regression (p = .041). The patients were followed for a period ranging from 1 to 83 months. The overall survival rate for all-cause mortality was 93.48% at 1 year, 77.24% at 5 years, and 52.92% at 8 years. All-cause mortality was significantly higher among patients with symptomatic carotid stenosis (p = .014). Conclusion CAS provides acceptable short-term and mid-term outcomes in a unique population of high- and standard-surgical-risk, symptomatic and asymptomatic, octogenarian, and nonoctogenarian patients.
Details
- Title: Subtitle
- Early and mid-term outcomes of carotid angioplasty and stent placement in 579 patients
- Creators
- Afshin Borhani-Haghighi - Shiraz University of Medical SciencesEtrat Hooshmandi - Shiraz University of Medical SciencesFarzaneh Zahediasl - Shiraz University of Medical SciencesHossein Molavi Vardanjani - Shiraz University of Medical SciencesMahdiyeh Rezaei - Shiraz University of Medical SciencesAbbas Rahimi-Jaberi - Shiraz UniversityNahid Ashjazadeh - Shiraz University of Medical SciencesPeyman Petramfar - Shiraz University of Medical SciencesVahid Reza Ostovan - Shiraz University of Medical SciencesNima Fadakar - Shiraz University of Medical SciencesMaryam Poursadeghfard - Shiraz University of Medical SciencesSadegh Izadi - Shiraz University of Medical SciencesMasoumeh Nazeri - Shiraz UniversitySeyedeh Shaghayegh Zafarmand - Shiraz University of Medical SciencesMahnaz Bayat - Shiraz University of Medical SciencesMohammad Saied Salehi - Shiraz University of Medical SciencesMaryam Owjfard - Shiraz University of Medical SciencesBehnaz Sedighi - Kerman University of Medical SciencesFarhad Iranmanesh - Kerman University of Medical SciencesKaveh Shafiei - Kerman University of Medical SciencesAlireza Vakilian - Rafsanjan University of Medical SciencesAmir Moghadam Ahmadi - Thomas Jefferson UniversityReza Nemati - Bushehr University of Medical SciencesFatemeh Rezaeian Jahromi - Jahrom University of Medical SciencesMaryam Jalalijahromi - Jahrom University of Medical SciencesKaveh Kashani - Fasa University of Medical SciencesSaeed Razmeh - Yasuj University of Medical SciencesMansour Bahrehbar - Yasuj University of Medical SciencesMarzieh Basir - Shiraz University of Medical SciencesAdnan Qureshi - Rehabilitation Institute of Kansas City
- Resource Type
- Journal article
- Publication Details
- Journal of neuroimaging, Vol.32(6), pp.1161-1169
- DOI
- 10.1111/jon.13036
- PMID
- 35969379
- NLM abbreviation
- J Neuroimaging
- ISSN
- 1051-2284
- eISSN
- 1552-6569
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- 19495 / Office of Vice Chancellor for Research in Shiraz University of Medical Sciences; Shiraz University of Medical Science
- Language
- English
- Date published
- 11/01/2022
- Academic Unit
- Neurology
- Record Identifier
- 9985013725102771
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