Neurological Outcome of Stenting in Carotid Occlusive Diseases

  • Mohamed Abdel Salam
  • Hossam Egila
  • Hassan Salama
  • Mohamed Shehab-Eldin

Abstract

Background:Carotid artery stenting (CAS)has become widely available  and considered as an alternative to carotid endartectomy .Objective: To compare CAS under protection device with medical treatment. Material and method: fifty patients were enrolled in these study (30 patients treated with carotid stenting and 20 patients managed medically) with stenosis > 60%.with follow up at six months later clinically and radiologically using carotid duplex .Result:After 6 months 4(13.4%) patients in CAS group develop TIA while in medically treated group 6(30%) patients, 1(3.3%) patient in CAS group develop stroke which was after procedure while 6(30%) patients in medically treated group develop stroke during follow up within 6 months, 1(3.3%) patient die in CAS group due to myocardial infarction, while in medically treated group 2(10%) patients died one of them due to large stroke and the other due to myocardial infarction. There was high significant difference between CAS and medical treated group after 6 months (p<0.01).Conclusion: CAS under protection device is associated with better outcome than medical treatment. 


Published
Aug 22, 2016
How to Cite
SALAM, Mohamed Abdel et al. Neurological Outcome of Stenting in Carotid Occlusive Diseases. International Archives of Medicine, [S.l.], v. 9, aug. 2016. ISSN 1755-7682. Available at: <http://imed.pub/ojs/index.php/iam/article/view/1717>. Date accessed: 20 nov. 2017. doi: http://dx.doi.org/10.3823/2013.
Section
Neurology

Keywords

Carotid Artery Stenting; Medical Treatment; Neurological Outcome; Carotid Stenosis.