ダウンロード数 : ?
ファイル
言語
英語
属性
Original article
著者
柴田 洋平
内容記述(抄録等)
Carotid artery stenosis is the major cause of stroke. Carotid artery stenting (CAS) is the less invasive treatment for this condition. But, the tortuosity of aortic arch or carotid bifurcation are considered a risk factor for CAS. The authors evaluated the impact of catheter access route on outcomes. A retrospective study was conducted on patients with CAS from 2015 to 2020. Accessed anatomical factors were acute angle type of aortic arch and carotid artery angulation. The outcomes were set as symptomatic stroke within 30 days postoperatively and postoperative ischemic diffusion-weighted imaging (DWI) lesions. In this study, 157 cases were included. In bivariate analysis, left-sided lesions and symptomatic stroke (p = 0.028), as well as age and ischemic DWI lesions (p = 0.004), were associated. On the other hand, two anatomic factors did not affect post-treatment outcomes in bivariate analysis. Safe treatment can be expected by preoperative evaluation of vascular anatomy.
主題
carotid artery stenting
anatomic risk factors
aortic arch
common-internal carotid angle
periprocedural complication
掲載誌名
Shimane Journal of Medical Science
39
4
開始ページ
113
終了ページ
121
ISSN
03865959
ISSN(Online)
24332410
発行日
2022-12
NCID
AA00841586
DOI
出版者
Faculty of Medicine, Shimane University
出版者別表記
島根大学医学部
資料タイプ
紀要論文
ファイル形式
PDF
権利関係
Faculty of Medicine, Shimane University
権利関係(リンク)
著者版/出版社版
出版社版
部局
医学部
他の一覧
このエントリーをはてなブックマークに追加