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Simultaneous stenting of the carotid artery and other coronary or extracoronary arteries: Does a combined procedure increase the risk of interventional therapy?
Author(s) -
Hofmann Robert,
Kerschner Klaus,
Kypta Alexander,
Steinwender Clemens,
Bibl Dietmar,
Leisch Franz
Publication year - 2003
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/ccd.10652
Subject(s) - medicine , coronary arteries , cardiology , carotid stenting , myocardial infarction , stroke (engine) , artery , carotid arteries , percutaneous , cerebral arteries , radiology , carotid endarterectomy , mechanical engineering , engineering
Simultaneous interventions in carotid and other extracarotid arteries are not performed on a routine basis up to now. In 67 out of 295 consecutive patients (23%) undergoing elective stenting of the internal carotid artery, additional interventions in the coronary arteries (n = 65), the iliac artery (n = 3), renal artery (n = 1), left subclavian artery (n = 3), vertebral artery (n = 4), or a combination thereof were performed. Primary stenting was done in 51 (74%) out of 69 carotid arteries, in 48 (74%) of 65 coronary arteries, and in 10 (91%) of 11 other targeted vessels. Neurological complications consisted of two (2.9%) transient ischemic attacks and one (1.5%) minor stroke. In addition, one (1.5%) myocardial infarction occurred during coronary artery intervention. In comparison, 16 (6.6%) transient ischemic attacks, 1 minor stroke (0.4%), 5 (2.2%) major strokes, and 3 (1.2%) deaths were observed in 228 patients without combined procedures. Simultaneous percutaneous interventions including carotid arteries and other extracarotid arteries are feasible, relatively safe, and cost‐effective.Catheter Cardiovasc Interv 2003;60:314–319. © 2003 Wiley‐Liss, Inc.