Speciality Endovascular Techniques
Library of the School of Health Sciences

2023-04-02

2023

Kontzias Nikolaos

Γερουλάκος Γεώργιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κακίσης Ιωάννης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Χατζηιωάννου Αχιλλέας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Ενδαγγειακή αντιμετώπιση καρωτιδικής νόσου

Greek

Endovascular τreatment of carotid disease

In our study, we recorded the results of the endovascular carotid stent implantation procedure in symptomatic and asymptomatic carotid stenosis in the neuroradiology department of the Augsburg hospital from 2010-2016 with follow-up on patients until 01 August 2018. The development of endovascular techniques and materials in combination with the increasing experience of interventionalists significantly expands the success of the procedure.
In clinical practice, approximately 1/3 of all patients excluded from large randomized comparative studies undergo carotid artery stenting. These patients have a significantly higher risk of peri-operative and post-operative complications.
In the context of the high proportion of symptomatic patients and comorbidities in our patient population, the results of our study are very satisfactory. Cases that were excluded in other large studies such as, for example, radiogenic stenosis, restenosis after CEA or CAS and patients with stroke severe enough to affect the assessment of endpoints were nevertheless included in our study. The low rate of complications occurring periprocedural and during follow-up, which is within the reference range of results in the literature for both carotid stenting and carotid endarterectomy, makes our study worthwhile and highlights the CAS procedure as a reliable treatment option for carotid disease

Health Sciences

Carotid stenosis, Protection systems, Restenosis, Mortality, Ischemic cerebral infarction

No

0

Yes

53

64

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https://pergamos.lib.uoa.gr/uoa/dl/object/3294679