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Simultaneous Bilateral Carotid Stenting in One Session in High‐Risk Patients
Author(s) -
Wang YaoHung,
Hsieh HongJen,
Lee ChungWei,
Chen YaFang,
Jeng JiannShing,
Liu HonMan
Publication year - 2008
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2007.00208.x
Subject(s) - medicine , carotid stenting , perioperative , surgery , carotid arteries , stent , carotid artery disease , carotid endarterectomy
The authors report their experience in treating a group of 6 high‐risk patients with severe bilateral carotid disease by carotid artery stenting in a single session. The patients were men aged 53 to 83 years. All had bilateral, synchronous, symptomatic ischemic disease. Five of the 6 patients had severe bilateral carotid stenoses due to atherosclerotic disease: the sixth had a dissecting aneurysm on one side. All were treated with self‐expandable stents: a distal protection device was used. All stenting procedures were technically successful. Stenoses averaged 84 ± 8% before the procedure and 10 ± 7% after. No procedure‐related complications occurred and no 30‐day postoperative complications were found. One patient experienced bradhycardia and hypotension for 1 day and was treated medically. After careful preparation and perioperative procedures in a selected group of patients, simultaneous bilateral carotid stenting procedures are feasible when required and appear to be relatively safe.