The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion

Abstract The safety of endovascular revascularization in patients with carotid artery near occlusion (CANO) is unknown. We aimed to evaluate the peri-procedural risk in CANO patients receiving carotid artery stenting (CAS). A prospective data base with retrospective review was performed to identify...

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Autores principales:	Cheng-Hsuan Tsai, Ying-Hsien Chen, Mao-Shin Lin, Ching-Chang Huang, Chi-Sheng Hung, Chih-Fan Yeh, Sheng-Fu Liu, Sung-Chun Tang, Chi-Chao Chao, Hsien-Li Kao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/90a1366eb65a473c886492e61a39f901
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spelling	oai:doaj.org-article:90a1366eb65a473c886492e61a39f9012021-11-14T12:18:55ZThe periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion10.1038/s41598-021-01286-32045-2322https://doaj.org/article/90a1366eb65a473c886492e61a39f9012021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01286-3https://doaj.org/toc/2045-2322Abstract The safety of endovascular revascularization in patients with carotid artery near occlusion (CANO) is unknown. We aimed to evaluate the peri-procedural risk in CANO patients receiving carotid artery stenting (CAS). A prospective data base with retrospective review was performed to identify patients who underwent CAS with CANO from July 2006 to July 2020, and had at least 1-month clinical follow-up data. The primary endpoints were stroke, hyperperfusion syndrome, and death within 30 days after CAS. A total of 198 patients with carotid artery stenosis were enrolled including 92 patients with CANO and 106 age and sex-matched patients with 70–99% conventional carotid stenosis. Full distal carotid collapse was found in 45 CANO patients (45/92, 49%). The technical success rate was 100%. The CANO patients had significantly longer lesion lengths compared with those of the non-CANO group. The incidence of hyperperfusion syndrome was comparable (CANO: 2.2%, non-CANO: 0.9%, P = 0.598). The risks of ischemic stroke and death within 30 days were 1.1% and 0% in the CANO group; and 1.9% and 0.9%, in the non-CANO group, respectively, without statistical difference. In conclusion, CAS is safe for patients with CANO, with a similar low 30-day peri-procedural event rate comparable to those of non-CANO.Cheng-Hsuan TsaiYing-Hsien ChenMao-Shin LinChing-Chang HuangChi-Sheng HungChih-Fan YehSheng-Fu LiuSung-Chun TangChi-Chao ChaoHsien-Li KaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cheng-Hsuan Tsai Ying-Hsien Chen Mao-Shin Lin Ching-Chang Huang Chi-Sheng Hung Chih-Fan Yeh Sheng-Fu Liu Sung-Chun Tang Chi-Chao Chao Hsien-Li Kao The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
description	Abstract The safety of endovascular revascularization in patients with carotid artery near occlusion (CANO) is unknown. We aimed to evaluate the peri-procedural risk in CANO patients receiving carotid artery stenting (CAS). A prospective data base with retrospective review was performed to identify patients who underwent CAS with CANO from July 2006 to July 2020, and had at least 1-month clinical follow-up data. The primary endpoints were stroke, hyperperfusion syndrome, and death within 30 days after CAS. A total of 198 patients with carotid artery stenosis were enrolled including 92 patients with CANO and 106 age and sex-matched patients with 70–99% conventional carotid stenosis. Full distal carotid collapse was found in 45 CANO patients (45/92, 49%). The technical success rate was 100%. The CANO patients had significantly longer lesion lengths compared with those of the non-CANO group. The incidence of hyperperfusion syndrome was comparable (CANO: 2.2%, non-CANO: 0.9%, P = 0.598). The risks of ischemic stroke and death within 30 days were 1.1% and 0% in the CANO group; and 1.9% and 0.9%, in the non-CANO group, respectively, without statistical difference. In conclusion, CAS is safe for patients with CANO, with a similar low 30-day peri-procedural event rate comparable to those of non-CANO.
format	article
author	Cheng-Hsuan Tsai Ying-Hsien Chen Mao-Shin Lin Ching-Chang Huang Chi-Sheng Hung Chih-Fan Yeh Sheng-Fu Liu Sung-Chun Tang Chi-Chao Chao Hsien-Li Kao
author_facet	Cheng-Hsuan Tsai Ying-Hsien Chen Mao-Shin Lin Ching-Chang Huang Chi-Sheng Hung Chih-Fan Yeh Sheng-Fu Liu Sung-Chun Tang Chi-Chao Chao Hsien-Li Kao
author_sort	Cheng-Hsuan Tsai
title	The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
title_short	The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
title_full	The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
title_fullStr	The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
title_full_unstemmed	The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
title_sort	periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/90a1366eb65a473c886492e61a39f901
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The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion

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