number of downloads : ?
File
language
eng
Attribute
Original article
Author
SHIBATA, Yohei
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.
Subject
carotid artery stenting
anatomic risk factors
aortic arch
common-internal carotid angle
periprocedural complication
Journal Title
Shimane Journal of Medical Science
Volume
39
Issue
4
Start Page
113
End Page
121
ISSN
03865959
ISSN(Online)
24332410
Published Date
2022-12
NCID
AA00841586
DOI
Publisher
Faculty of Medicine, Shimane University
Publisher Aalternative
島根大学医学部
NII Type
Departmental Bulletin Paper
Format
PDF
Rights
Faculty of Medicine, Shimane University
rights(link)
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
他の一覧