In:
Journal of Endovascular Therapy, SAGE Publications, Vol. 9, No. 5 ( 2002-10), p. 559-565
Abstract:
To assess the impact of age on technical success and complications of carotid stenting in a prospective single-center cohort study. Methods: One hundred eleven consecutive patients (74 men; median age 70 years) with ≥70% symptomatic (n=33) or ≥90% asymptomatic (n=78) internal carotid artery (ICA) stenosis underwent carotid artery stent implantation. Primary technical success and periprocedural complications were compared in patients aged 〉 75 years (n=28) to patients 〈 75 years (n=83). Results: Patient groups below and above 75 years compared well with respect to baseline demographic and clinical data. Successful stenting was achieved in 108 (97%) patients. The combined neurological complication rate was 7% (n=8), with 1 (1%) major stroke, 1 (1%) minor stroke, and no 30-day mortality. Technical angiographic complications occurred in 8 (7%) patients. No significant differences between patients 〉 75 years and those 〈 75 years were observed for primary success rates (100% [28/28] versus 96% [80/83] ; p=0.8), overall complications (14% [4/28] versus 16% [13/83] ; p=1.0), neurological complications (7% [2/28] versus 7% [6/83] ; p=1.0), or technical complications (7% [2/28] versus 4% [3/83] ; p=0.6). Conclusions: Elective carotid stenting can be performed safely in older patients with several comorbidities. Patient age does not seem to be an independent risk factor for poor outcome after endovascular treatment of internal carotid artery stenosis. Both Drs. Ahmadi and Schillinger contributed equally to the study.
Type of Medium:
Online Resource
ISSN:
1526-6028
,
1545-1550
DOI:
10.1177/152660280200900501
Language:
English
Publisher:
SAGE Publications
Publication Date:
2002
detail.hit.zdb_id:
2049858-5
