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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. Bagin
Medical Institute of Peoples' Friendship University of Russia
Russian Federation

Moscow



Р. Е. Krainyukov
Medical Institute of Peoples' Friendship University of Russia
Russian Federation

Moscow



Z. Kh. Shugushev
Medical Institute of Peoples' Friendship University of Russia
Russian Federation

Moscow



D. A. Maksimkin
Medical Institute of Peoples' Friendship University of Russia
Russian Federation

Moscow



S. S. Saidov
Moscow State Medical University
Russian Federation

Moscow



S. V. Volkov
Medical Institute of Peoples' Friendship University of Russia
Russian Federation

Moscow



A. О. Korobkov
Medical Institute of Peoples' Friendship University of Russia
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.


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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

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ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)