ID | 54980 |
File | |
language |
eng
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Attribute |
Original article
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Author |
SHIBATA, Yohei
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Description | 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.
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Subject | carotid artery stenting
anatomic risk factors
aortic arch
common-internal carotid angle
periprocedural complication
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Journal Title |
Shimane Journal of Medical Science
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Volume | 39
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Issue | 4
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Start Page | 113
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End Page | 121
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ISSN | 03865959
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ISSN(Online) | 24332410
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Published Date | 2022-12
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NCID | AA00841586
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DOI | |
Publisher | Faculty of Medicine, Shimane University
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Publisher Aalternative | 島根大学医学部
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NII Type |
Departmental Bulletin Paper
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Format |
PDF
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Rights | Faculty of Medicine, Shimane University
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rights(link) | ![]() This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. |
Text Version |
出版社版
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OAI-PMH Set |
Faculty of Medicine
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他の一覧 |