Medium-long-term results of carotid stenting in asymptomic stenosis of the carotid arteries
https://doi.org/10.20340/vmi-rvz.2021.2.CLIN.3
Abstract
The article describes the experience of carotid stenting use in asymptomatic cerebral atherosclerosis. The study included 147 patients with unilateral asymptomatic carotid artery disease. The evaluation of mid-longterm results of carotid stenting in patients with asymptomatic stenosis was carried out in comparison with the use of conservative treatment in this category of patients (“optimal drug treatment”). In the course of the work, no significant intergroup difference was revealed in the incidence of adverse outcomes (TIA/stroke, death from
stroke,) within a year from the moment of surgical treatment or the beginning of complex correction of risk factors.
About the Authors
S. A. BaginRussian Federation
Moscow
Р. Е. Krainyukov
Russian Federation
Moscow
Z. Kh. Shugushev
Russian Federation
Moscow
D. A. Maksimkin
Russian Federation
Moscow
S. S. Saidov
Russian Federation
Moscow
S. V. Volkov
Russian Federation
Moscow
A. О. Korobkov
Russian Federation
Moscow
References
1. Nacional'nye rekomendacii po vedeniyu pacientov s zabolevaniyami brahiocefal'nyh arterij. Angiologiya i sosudistaya hirurgiya. 2013;19(2):1-71. (In Russ).
2. Lutz H.J. et al. Best medical therapy or wishful thinking in carotid disease? A single-center audit in Germany. Eur. J. Vasc. Endovasc. Surg. 2011;42(4)501-506.
3. Moneta G.L. et al. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angi ographic definition of 70 % to 99 % internal carotid artery stenosis with duplex scanning. J. Vasc. Surg. 1993;17(1):152-157.
4. Mas J.L. et al. Endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis (EVA-3s) trial: results up to 4 years from a randomised, multicentre trial. Lancet Neurol. 2008;7(10):885-892.
5. Stolker J.M. et al. Health-related quality of life following carotid stenting versus endarterectomy: results from the SAPPHIRE (Stenting and Angioplasty with Protection in Patients at HIgh Risk for Endarterectomy) trial. JACC: Cardiovasc. Interv. 2010;3(5):515-523.
6. Brott T.G. et al. Long-term results of stenting versus endarterectomy for carotid-artery stenosis. New Engl. J. Med. 2016;374(11)1021-1031.
7. Giacovelli J.K. et al. Outcomes of carotid stenting compared with endarterectomy are equivalent in asymp tomatic patients and inferior in symptomatic patients. J. Vasc. Surg. 2010;52(4):906-913.
8. Silver F.L. et al. Safety of stenting and endarterectomy by symptomatic status in the carotid revascularization endarterectomy versus stenting trial (CREST). Stroke. 2011;42(3):675-680.
9. Ferguson G.G. et al. The North American Symptomatic Carotid Endarterectomy Trial. Stroke. 1999;30(9):1751-1758.
Supplementary files
Review
For citations:
Bagin S.A., Krainyukov Р.Е., Shugushev Z.Kh., Maksimkin D.A., Saidov S.S., Volkov S.V., Korobkov A.О. Medium-long-term results of carotid stenting in asymptomic stenosis of the carotid arteries. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2021;(2):18-27. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.2.CLIN.3