Urgent Carotid Surgery: Is It Still out of Debate?
Patients with symptomatic tight carotid stenosis have an increased short-time risk of stroke and an increased long-term risk of ischaemic vascular events compared with the general population. The aim of this study is to assess the safety, efficacy, and limitations of urgent CEA or CAS, in patients w...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/536392 |
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| author | C. Battocchio C. Fantozzi L. Rizzo F. Persiani S. Raffa M. Taurino |
| author_facet | C. Battocchio C. Fantozzi L. Rizzo F. Persiani S. Raffa M. Taurino |
| author_sort | C. Battocchio |
| collection | DOAJ |
| description | Patients with symptomatic tight carotid stenosis have an increased short-time risk of stroke and an increased long-term risk of ischaemic vascular events compared with the general population. The aim of this study is to assess the safety, efficacy, and limitations of urgent CEA or CAS, in patients with carotid stenosis greater than 70% and clinically characterized by recurrent TIA or brain damage following a stroke (<2.5 cm). This study involved 28 patients divided into two groups. Group A consisted of sixteen patients who had undergone CEA, and group B consisted of twelve patients who had undergone CAS. Primary endpoints were mortality, neurological morbidity (by NIHSS) and postoperative hemorrhagic cerebral conversion, at 30 days. Ten patients (62.5%) of group A experienced an improvement in their initial neurological deficit while in 4 cases (26%) the deficit remained stable. Two cases of neurologic mortality are presented. At 1 month, 9 patients (75%) of group B experienced an improvement in their initial neurological deficit while 3 patients (25%) had a neurological impairment. Urgent or deferred surgical or endovascular treatment have a satisfactory outcome considering the profile in very high-risk patient population. Otherwise in selected patients CEA seems to be preferred to CAS. |
| format | Article |
| id | doaj-art-70bab4c0133349b3a871a8dfcc5d755d |
| institution | OA Journals |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-70bab4c0133349b3a871a8dfcc5d755d2025-08-20T02:06:47ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/536392536392Urgent Carotid Surgery: Is It Still out of Debate?C. Battocchio0C. Fantozzi1L. Rizzo2F. Persiani3S. Raffa4M. Taurino5Azienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyAzienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyAzienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyAzienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyAzienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyAzienda Ospedaliera Sant'Andrea, Facoltà di Medicina e Psicologia, Sapienza-Università di Roma, 00189 Roma, ItalyPatients with symptomatic tight carotid stenosis have an increased short-time risk of stroke and an increased long-term risk of ischaemic vascular events compared with the general population. The aim of this study is to assess the safety, efficacy, and limitations of urgent CEA or CAS, in patients with carotid stenosis greater than 70% and clinically characterized by recurrent TIA or brain damage following a stroke (<2.5 cm). This study involved 28 patients divided into two groups. Group A consisted of sixteen patients who had undergone CEA, and group B consisted of twelve patients who had undergone CAS. Primary endpoints were mortality, neurological morbidity (by NIHSS) and postoperative hemorrhagic cerebral conversion, at 30 days. Ten patients (62.5%) of group A experienced an improvement in their initial neurological deficit while in 4 cases (26%) the deficit remained stable. Two cases of neurologic mortality are presented. At 1 month, 9 patients (75%) of group B experienced an improvement in their initial neurological deficit while 3 patients (25%) had a neurological impairment. Urgent or deferred surgical or endovascular treatment have a satisfactory outcome considering the profile in very high-risk patient population. Otherwise in selected patients CEA seems to be preferred to CAS.http://dx.doi.org/10.1155/2012/536392 |
| spellingShingle | C. Battocchio C. Fantozzi L. Rizzo F. Persiani S. Raffa M. Taurino Urgent Carotid Surgery: Is It Still out of Debate? International Journal of Vascular Medicine |
| title | Urgent Carotid Surgery: Is It Still out of Debate? |
| title_full | Urgent Carotid Surgery: Is It Still out of Debate? |
| title_fullStr | Urgent Carotid Surgery: Is It Still out of Debate? |
| title_full_unstemmed | Urgent Carotid Surgery: Is It Still out of Debate? |
| title_short | Urgent Carotid Surgery: Is It Still out of Debate? |
| title_sort | urgent carotid surgery is it still out of debate |
| url | http://dx.doi.org/10.1155/2012/536392 |
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