One Session Bilateral Carotid Stenting – Experience from Slovakian Center

• Published in: Acta medica martiniana Vol. 16; no. 1; pp. 30 - 35
• Main Authors: Nosal, V, Zelenak, K, Sivak, S, Michalik, J, Kantorova, E, Pecova, R, Kurca, E
• Format: Journal Article
• Language: English
• Published: Martin De Gruyter Open 01-04-2016; De Gruyter Poland; Sciendo
• Subjects: Angioplasty; bilateral carotid stenosis; bilateral CAS; Stents; Stroke; stroke prevention; Veins & arteries
• ISSN: 1335-8421; 1335-8421; 1338-4139
• DOI: 10.1515/acm-2016-0004

Bilateral carotid artery stenting (BCAS) in one session is relatively rare procedure. However, clear recommendations still do not exist. The aim of our study was to analyze efficacy and safety of the BCAS performed by single operator in our center.
A retrospective analysis of 95 carotid angioplasty with stent implantation (CAS) patients performed in our center, totally 9 patients (8 males and 1 female, age 59-83, average 69) was identified where simultaneous BCAS was performed. All patients had bilateral hemodynamic significant stenosis (≥ 70 %), and all patients had symptomatic stenosis.
Only 1 patient was without any complication. The most frequent complications were arterial hypotension. However, duration of stay on the Intensive Care Unit, or hospitalisation was not prolonged. From serious complications we noticed one case of periprocedural filter occlusion and one patient died 30 days after procedure. No other serious complications were in the BCAS group noticed.
Because of limited data it is not possible to make any clear conclusions or recommendations from the results of our study. Our data show that probably BCAS appears to be safe and effective way in the treatment of bilateral carotid artery stenosis in high-risk population.