Percutaneous implantation of endoprostheses in the carotid arteries

• Published in: Arquivos brasileiros de cardiologia Vol. 80; no. 1; pp. 77 - 82
• Main Authors: Costa, Jr, José Ribamar, Cano, Manuel N, Oliveira, Dinaldo C, Kambara, Antonio M, Moreira, Adriana C, Queiroz, Rogé rio, Cano, Silvia, Sousa, Amanda G M R, Sousa, J Eduardo M R
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Cardiologia - SBC 01-01-2003; Sociedade Brasileira de Cardiologia (SBC)
• Subjects: Aged; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - standards; Brazil - epidemiology; CARDIAC & CARDIOVASCULAR SYSTEMS; carotid arteries; Carotid Artery, Internal - surgery; Carotid Stenosis - mortality; Carotid Stenosis - therapy; Cerebral Angiography; Female; Follow-Up Studies; Humans; Ischemic Attack, Transient - etiology; Male; Middle Aged; placement; stent; Stents - adverse effects; Stroke - etiology; Brazil; stent; carotid arteries; placement; carótidas; implante
• ISSN: 0066-782X; 1678-4170; 0066-782X; 1678-4170
• DOI: 10.1590/S0066-782X2003000100007

To assess the in-hospital evolution of patients undergoing percutaneous stent placement in the carotid arteries.
From August 1996 to April 2001, we studied 86 patients with carotid arterial obliterative lesions > 70% who were treated with percutaneous stent placement in the carotid arteries. We assessed the rate of success of the implantation and of the procedure, the types of stents used, mortality rate, and neurological complications.
Successful implantation was obtained in 98.9% of the cases, and the procedure was successful in 91.8%. The Wallstent was the most frequently used stent (73 patients - 77%). Cerebral strokes occurred as follows: 3 (3.2%) transient ischemic attacks, 1 (1.1%) minor stroke, and 3 (3.1%) major strokes. One (1.1%) patient died during hospitalization.
The high rate of success of stent implantation (98.9%) in addition to the low rate of cerebral stroke/death (4.2%) showed the efficiency and safety of percutaneous stent placement in carotid arteries.