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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.21 No.2
- 발행연도
- 2019.1
- 수록면
- 86 - 93 (8page)
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초록· 키워드
오류제보하기
Objective : Carotid artery stenting is helpful in patients with carotid artery stenosis and is a common method of treatment. However, data on the neurological consequences that might arise from, especially Asian patients after CAS is not enough. The purpose of this study was to investigate the outcome and prognostic factors affecting CAS patients. Methods : From January 2013 to June 2018 it was enrolled 97 patients who underwent CAS with severe carotid artery stenosis in a single institution. We retrospectively reviewed neurologic complications such as restenosis, ipsilateral or contralateral stroke, and hyperperfusion during the 6-month follow-up period. Results : There were no complication occured during the procedure in all 97 patients. Neurologic complications occurred in 30 patients (30.9%) after the procedure, and ipsilateral stroke 6 (6.2%), contralateral stroke 9 (9.4%), restenosis 2 (2.1%) and hyperperfusion 13 respectively. One of them had died (1.0%), of which the rest were discharged after symptoms improve. On univariate analysis, DM and pre-op NIHSS score was associated with the risk of CAS complication, exclusively. On the binary logistic regression for risk factors, DM (OR 0.144, 95% CI [0.029-0.718]), history of radiotheraphy (OR 36.103, 95% CI [1.009-1291.789]) and preoperative NIHSS (OR 1.266, 95% CI [1.059-1.513]) showed independent risk factors associated with post procedural neurological complications, statistically. Conclusion : Carotid artery stenting is a relatively safe and reliable long-term outcome for patients with carotid artery stenosis. However, careful observation should be taken after procedure immediately for any possible complications.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Abou-Chebl A / 2004 / Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting:risk factors, prevention, and treatment / J Am Coll Cardiol 43(9):1596~1601
Bouri S / 2011 / Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome / Eur J Vasc Endovasc Surg 41(2):229~237
Cheung RT / 2003 / North American Symptomatic Carotid Endarterectomy Trial G. Risk, types, and severity of intracranial hemorrhage in patients with symptomatic carotid artery stenosis / Stroke 34(8):1847~1851
Coutts SB / 2003 / Hyperperfusion syndrome:toward a stricter definition / Neurosurgery 53(5):1053~1058
De Rango P. / 2012 / Cerebral hyperperfusion syndrome: the dark side of carotid endarterectomy / Eur J Vasc Endovasc Surg 43(4):377
Bouri S / 2011 / Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome / Eur J Vasc Endovasc Surg 41(2):229~237
Cheung RT / 2003 / North American Symptomatic Carotid Endarterectomy Trial G. Risk, types, and severity of intracranial hemorrhage in patients with symptomatic carotid artery stenosis / Stroke 34(8):1847~1851
Coutts SB / 2003 / Hyperperfusion syndrome:toward a stricter definition / Neurosurgery 53(5):1053~1058
De Rango P. / 2012 / Cerebral hyperperfusion syndrome: the dark side of carotid endarterectomy / Eur J Vasc Endovasc Surg 43(4):377
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