Articles Vol. 65 No. CĐ 7 - NCKH 24/07/2024

24. RESEARCH ON THE RESULTS OF EXTRACRANIAL CAROTID ARTERY STENOSIS TREATMENT BY INTERVENTION METHOD THROUGH CATHETER IN PATIENT OVER 60 YEARS OLD

Le Tung Lam1,2, Pham Manh Hung3,4
1 Huu Nghi Hospital
2 Bệnh viện Hữu Nghị
3 Vietnam National Heart Institute
4 Viện Tim mạch Việt Nam
Corresponding author: letunglamhnvn74@yahoo.com.vn
DOI: 10.52163/yhc.v65iCD7.1318
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Keywords
Carotid artery intervention, carotid artery stenosis, carotid artery stenting.
Abstract

Introduction: With the advancement of the most interfering intervention devices, which is especially the introduction of the distance protecting device, carotid artery stenting is an effective method, leading to a gentle comfortable and safe procedure for elderly patients (more than 60 years old). 

Objective: To evaluate the results of extracranial carotid artery stenting.

Methods: Intervention study, no control group, longitudinal follow-up.

Results: Average patient age was 75.3 ± 4.2 years. Successful rate was 100%. After carotid artery stening: 6.4% of stroke and 2.1% of myocardial infartion. After 3 months of follow-up: 2.1% of stroke and 2.1% of myocardial infarction.

Conclusion: Carotid artery stenting is a safe and effective treatment method for elderly patients (> 60 years old) with extracranial carotid artery stenosis.

References
[1]
CDC, Prevalence of disabilities and associated health conditions among adults-United States, 1999, MMWR Morb Mortal Wkly Rep, 2001, 50 (7), 120-125. Google Scholar
[2]
Elderle J, Brown M.M, Randomized Controlled Trials Comparing Endarterectomy and Endovascular Treatment for Carotid Artery Stenosis: A Cochrane Systematic Review, Stroke, 2009, 40, 1373-1380. Google Scholar
[3]
Ederle J, Bonati L.H, Dobson J et al, Endovascular treatment with angioplasty or stenting versus endarterectomy in patients with carotid artery stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long-term follow-up of a randomised trial, Lancet Neurol, 2009, 8 (10), 898-907. Google Scholar
[4]
Harjai KJ, Mehta RH, Trials and tribulations of carotid artery stenting: The Interventiona-lists’ perspective on SAPPHIRE, EVA-3S, and SPACE Trials, J. Interv Cardiol, 2007, 20 (5), 389-394. Google Scholar
[5]
Trần Nguyễn Phương Hải, Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị hẹp động mạch cảnh đoạn ngoài sọ bằng phương pháp can thiệp qua da, Luận án tến sỹ y học, Viện Nghiên cứu khoa học y dược lâm sàng 108, 2017. Google Scholar
[6]
H.V Khương, Đánh giá hiệu quả ngắn hạn của điều trị hẹp động mạch cảnh bằng phương pháp can thiệp qua da, 2011. Google Scholar
[7]
Chaturvedi S, Sohrab S, Tselis A, Carotid stent thrombosis: report of 2 fatal cases, Stroke, 2001, 32 (11), 2700-2702. Google Scholar
[8]
Kosowski M, Gwizdek T et al, Safety and efficacy asessment of carotid artery stenting in a hight-risk population in a single-centre registry, 2014. Google Scholar
[9]
Hoàng Văn Kỳ, Đánh giá kết quả sớm của phương pháp đặt stent để điều trị hẹp động mạch cảnh do xơ vữa, Luận văn bác sỹ nội trú, Trường Đại học Y Hà Nội, 2014. Google Scholar
[10]
Groschel K, Riecker A, Schulz J.B et al, Systematic review of early recurrent stenosis after carotid angioplasty and stenting”, Stroke, 2005, 36 (2), 367-373. Google Scholar
[11]
Alireza Khosravi, Farshad Roghani, Mohammad Saadatnia and Mohaddeseh Behjati (2018), Carotid arterial stent implantation follow-up and results in 50 patients. Google Scholar