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Carotid stenting in patients older than 65 years with inoperable carotid artery disease: A single‐center experience
Author(s) -
Gupta Anjan,
Bhatia Atul,
Ahuja Arvind,
Shalev Yoseph,
Bajwa Tanvir
Publication year - 2000
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(200005)50:1<1::aid-ccd1>3.0.co;2-r
Subject(s) - medicine , stenosis , angioplasty , stroke (engine) , cardiology , ejection fraction , carotid stenting , concomitant , surgery , coronary artery disease , carotid artery disease , heart failure , carotid endarterectomy , mechanical engineering , engineering
Carotid angioplasty and stenting to treat extracranial carotid stenosis is an alternative (as yet not widely accepted) to high‐risk surgery, but its safety and efficacy are little known, especially in elderly patients. We reviewed our 3‐year experience of treating 100 elderly patients (> 65 years old) considered to be inoperable (76 men, 24 women, mean age 76 ± 10 years, mean follow‐up 18 ± 9.2 months) and present two case histories. Most (85%) were symptomatic (transient ischemic attacks in 60, stroke in 25); 80 had concomitant coronary artery disease (severe in 30 [defined by > 70% stenosis in two or more epicardial coronary arteries or the left main coronary artery]) and 25 had severe left ventricular dysfunction (ejection fraction ≤ 20%). The procedure was technically successful in all patients; there was one major stroke and no patient died. Postprocedure, 15% had minor complications: reversible neurological deficit (5%), pulmonary edema (3%), prolonged hypotension (3%), vascular access complications (3%), and neck hematoma (1%). Over 90% of patients were discharged home within 24 hr. Cathet. Cardiovasc. Intervent. 50:1–8, 2000. © 2000 Wiley‐Liss, Inc.