Karotis Arter Stentlemesi Uygulanan Hastaların Özellikleri ve Hastane İçi Klinik Sonuçları: Tek merkez deneyimi

Year 2021, , 737 - 742, 27.12.2021

İbrahim Kocayiğit , Yusuf Can , Harun Kılıç

https://doi.org/10.31832/smj.913188

Abstract

Amaç: Çalışmamızın amacı, hastanemizde uygulanan karotis arter stentleme (KAS) prosedürlerini ve hastane içi sonuçları değerlendirmektir.
Gereç ve Yöntemler: Ocak 2019 ile Aralık 2019 arasında KAS uygulanan 86 hasta retrospektif olarak incelendi.
Bulgular: Bu hastalardan 46'sının (% 53,5) son 6 ay içinde geçici iskemik atak veya inme öyküsü mevcuttu. Hastaların ortalama yaşı semptomatik grupta, asemptomatik gruba göre anlamlı olarak daha düşüktü (65,5 ± 10,7 vs 70,2 ± 6,8, p = 0,019). Predilatasyon 79 hastaya (% 91,9) yapılmıştı. Yedi hastada (% 8.1) yetersiz açılmaya bağlı olarak postdilatasyon gerektiği görüldü. Sadece 4 hastada işlem sırasında hem predilatasyon hem de postdilatasyon yapılmıştı. Hastaların çoğunda (84 hasta,% 97,7) distal embolik koruma cihazı kullanıldı. Sadece iki hastada (% 2.3) proksimal emboli koruma cihazı kullanıldı. Teknik başarı oranı% 98,8 (85/86) idi. Hastane içi ölüm ve kalıcı inme hiçbir hastada görülmedi. İki hastada geçici iskemik atak görüldü.
Sonuç: KAS, deneyimli merkezlerde düşük komplikasyon oranları ile karotis arter darlığında güvenli ve etkili bir tedavi yöntemidir. KAS, özellikle cerrahi riski yüksek hastalarda karotis endarterektomiye alternatif bir tedavidir.

Keywords

akut iskemik inme, karotis arter stentlemesi, karotis arter darlığı

Characteristics and In-Hospital Clinical Outcomes of the Patients Undergoing Carotid Artery Stenting: A single center experience

Abstract

Objective: The aim of our study was to evaluate carotid artery stenting (CAS) procedures and in-hospital outcomes performed in our instutition.
Materials and Methods: A total of 86 patients who underwent CAS between January 2019 and December 2019 were analyzed retrospectively.
Results: Among these patients, 46 of the patients (53.5%) were symptomatic because of a history of transient ischemic attack (TIA) or stroke in the preceding 6 months, and the remain of the patients were asymptomatic (40 patients, 46.5%). The mean age of the patients was significantly lower in symptomatic group compared to asymptomatic group (65.5±10.7 vs 70.2±6.8, p=0.019). Predilatation was performed in 79 patients (91.9%). In 7 patients (8.1%) postdilatation was required due to insufficient opening. Only in 4 patient, both predilatation and postdilatation was performed during the procedure. In most of the patients (84 patients, 97.7%) distal embolic protection device (EPD) were used. Only in two patients (2.3%) proximal EPD were used. Technical success rate was 98.8% (85/86). In-hospital death and disabling stroke was not observed in any patients. TIA was observed in two patients.
Conclusion: CAS is safe and effective treatment method in carotid artery stenosis with low complication rates in experienced centers. CAS is alternative treatment to carotid endarterectomy (CEA) especially in patients with high surgical risk.

Keywords

acute ischemic stroke, carotid artery stenting, carotid artery stenosis

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