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Feasibility of simultaneous bilateral carotid artery stenting
Author(s) -
Chen Michael S.,
Bhatt Deepak L.,
Mukherjee Debabrata,
Chan Albert W.,
Roffi Marco,
Kapadia Samir R.,
Ziada Khaled M.,
Chew Derek P.,
Bajzer Christopher T.,
Yadav Jay S.
Publication year - 2004
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.10742
Subject(s) - medicine , carotid stenting , percutaneous , bradycardia , revascularization , carotid arteries , stenosis , cardiology , surgery , stent , radiology , carotid endarterectomy , myocardial infarction , blood pressure , heart rate
Due to the progressive aging of the population, severe bilateral carotid stenosis has become a more frequent condition. On occasion, simultaneous revascularization may be appropriate. There is increased evidence that for these high‐risk patients, a percutaneous revascularization may be the best approach. However, there are concerns that simultaneous bilateral carotid stenting may be associated with cerebral hyperperfusion, excessive bradycardia, and hypotension. We report a series of 10 consecutive patients who underwent simultaneous bilateral carotid stenting. All of these patients were not deemed to be surgical candidates due to high‐risk comorbidities. All but one of the lesions were successfully stented. There were no procedural deaths, myocardial infarctions, or strokes. Thus, among carefully selected patients, simultaneous bilateral carotid artery stenting is a promising, technically feasible option. Catheter Cardiovasc Interv 2004;61:437–442. © 2004 Wiley‐Liss, Inc.