Aterosklerotik karotis arter darlığı nedeniyle endovasküler stent tedavisi uygulanmış olgularda erken dönem klinik ve radyolojik sonuçlar
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Date
2010
Authors
Orcan, Gökhan
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Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Karotis arter stentleme (KAS), karotid endarterektomiye (KEA) bir alternatiftir. Bu çalışmanın amacı, karotis arter stentleme yapılmış hastalarda klinik ve radyolojik sonuçlarının belirlenmesidir.Bu retrospektif çalışmada, Haziran 2007 ve Nisan 2010 tarihleri arasında karotid arter darlığı nedeniyle tedavi edilen 96 olgu/105 arterin (59 [%61,4] olgu semptomatik ve 37 [%38,6] olgu asemptomatik) verileri analiz edildi. Hastaların demografik özellikleri, darlık yüzdeleri, kullanılan stent ve emboli koruma cihazlarının sayı ve çeşitleri ile perioperatif 30 günlük inme miyokard infarktüsü (Mİ), ve ölüm oranları araştırıldı.30 günlük, minör inme oranı %4,8, ölüm oranı %0,9, toplam inme ve ölüm oranı %5,7 idi. Transient iskemik atak (TİA), majör inme ve Mİ görülmedi.Sonuç olarak, KAS kabul edilebilir 30 günlük komplikasyon oranlarıyla uygulanabilir. Gelişen ve olgunlaşan KAS malzeme ve tekniğiyle, günümüzde KEA'ya iyi bir alternatiftir. Gelecekte, KEA'dan ziyade KAS'tan fayda görecek hastaların belirlenmesi için yeni çalışmalar yapılmalıdır.
Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA). The purpose of this study was to determine clinical and radiological outcomes on carotid artery stenting patients. In this retrospective study, we analysed data from 96 cases/105 arteries (59 [%61,4] cases were symptomatic and 37 [%38,6] were asymptomatic) treated for carotid artery stenosis between June 2007 and April 2010. Patient’s demographic variables and percentages of stenosis, the number and varieties of used stents and embolic protection devices with perioperative 30 days stroke, myocardial infarction (MI) and death rate were investigated. At 30 days, there was a %4,8 minor stroke rate, a %0,9 death rate and a combined %5,7 stroke and death rate. There was no transient ischemic attack (TIA), major stroke and MI. In conclusion, CAS can be performed with an acceptable 30-day complication rates. With the evolution and maturation of CAS equipment and technique, CAS is now a reasonable alternative to CEA. In the future, new studies should be performed to identify those patients who will benefit more from CAS than from CEA.
Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA). The purpose of this study was to determine clinical and radiological outcomes on carotid artery stenting patients. In this retrospective study, we analysed data from 96 cases/105 arteries (59 [%61,4] cases were symptomatic and 37 [%38,6] were asymptomatic) treated for carotid artery stenosis between June 2007 and April 2010. Patient’s demographic variables and percentages of stenosis, the number and varieties of used stents and embolic protection devices with perioperative 30 days stroke, myocardial infarction (MI) and death rate were investigated. At 30 days, there was a %4,8 minor stroke rate, a %0,9 death rate and a combined %5,7 stroke and death rate. There was no transient ischemic attack (TIA), major stroke and MI. In conclusion, CAS can be performed with an acceptable 30-day complication rates. With the evolution and maturation of CAS equipment and technique, CAS is now a reasonable alternative to CEA. In the future, new studies should be performed to identify those patients who will benefit more from CAS than from CEA.
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Keywords
Ateroskleroz, Karotis darlığı, İnme, Stent, Karotis arter stentleme, Atherosclerosis, Carotid stenosis, Stroke, Stent, Carotid artery stenting
Citation
Orcan, G. (2010). Aterosklerotik karotis arter darlığı nedeniyle endovasküler stent tedavisi uygulanmış olgularda erken dönem klinik ve radyolojik sonuçlar. Yayınlanmamış uzmanlık tezi. Uludağ Üniversitesi Tıp Fakültesi.