Carotid stenting for symptomatic carotid artery web: Multicenter experience.

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY Interventional Neuroradiology Pub Date : 2024-01-17 DOI:10.1177/15910199231226293

Christopher R Pasarikovski, Jeremy Lynch, Michael Corrin, Jerry C Ku, Ashish Kumar, Vitor M Pereira, Timo Krings, Leodante da Costa, Sandra E Black, Ronit Agid, Victor Xd Yang

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Abstract

Objective: Carotid artery webs are an underappreciated cause of recurrent ischemic stroke, and may represent a significant portion of cryptogenic stroke. Evidence-based guidelines for the management of symptomatic carotid webs do not exist. The goal of this study is to audit our local experience for patients with symptomatic carotid artery webs undergoing carotid stenting as a treatment option, along with describing the hypothesized dynamic physiology of carotid webs.

Methods: All patients undergoing stenting for symptomatic carotid artery web at two comprehensive regional stroke centers with high endovascular thrombectomy volume from January 1, 2012 to March 1, 2021 were included. The modified Rankin Scale (mRS) score was used to define functional outcome at 3 months after stenting.

Results: Fourteen consecutive patients with symptomatic carotid artery webs underwent stenting. Twelve patients were female (86%), with a median age of 54 (IQR, 48-64) years across all patients. Stroke was the qualifying event in 12 (86%) patients and TIA in 2. Eleven patients (11/14, 79%) achieved a mRS score of 0-2 at 90 days, 2 (14%) were mRS 3-5, and one patient was lost to follow-up. The median follow-up was 12 months (IQR, 10-12). There was no recurrent stroke or TIA like symptoms in any patients.

Conclusions: Carotid stenting appears to be safe at preventing recurrent stroke/TIA with a median follow-up of 12 months in this retrospective multicenter observational study.

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颈动脉支架治疗无症状颈动脉网：多中心经验。

目的：颈动脉网是导致复发性缺血性卒中的一个未被重视的原因，可能占隐源性卒中的很大一部分。目前尚无以证据为基础的无症状颈动脉网治疗指南。本研究的目的是总结我们当地对无症状颈动脉蛛网膜患者进行颈动脉支架置入术治疗的经验，同时描述颈动脉蛛网膜的假设动态生理学：方法：纳入2012年1月1日至2021年3月1日期间在两个综合性区域卒中中心接受支架植入术治疗症状性颈动脉网的所有患者。采用改良Rankin量表（mRS）评分来确定支架植入术后3个月的功能预后：14名无症状颈动脉蹼患者连续接受了支架植入术。12名患者为女性（86%），所有患者的中位年龄为54岁（IQR，48-64岁）。有 11 名患者（11/14，79%）在 90 天后的 mRS 评分为 0-2，2 名患者（14%）的 mRS 评分为 3-5，1 名患者失去随访。中位随访时间为 12 个月（IQR，10-12 个月）。所有患者均未出现中风复发或类似 TIA 的症状：在这项回顾性多中心观察研究中，中位随访时间为 12 个月的颈动脉支架植入术在预防复发性卒中/TIA 方面似乎是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

3.60

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...