Percutaneous transluminal angioplasty or stenting of petrous and cavernous internal carotid artery stenosis – a systematic review

IF 3 3区医学 Q2 CLINICAL NEUROLOGY Journal of Neuroradiology Pub Date : 2024-02-01 DOI:10.1016/j.neurad.2023.06.005

Mira Salih , Akashleena Mallick , Hamid Hussain Rai , Felix Nwajei , Justin M. Cappuzzo , Kenneth Snyder , Christopher S. Ogilvy

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Abstract

Percutaneous transluminal angioplasty (PTA) and stenting have been used for the treatment of internal carotid artery (ICA) stenosis over the past two decades. A systematic review was performed to understand the efficacy of PTA and/or stenting for petrous and cavernous ICA stenosis. In total, 151 patients (mean age 64.9) met criteria for analysis, 117 (77.5%%) were male and 34 (22.5%) were female. Of the 151 patients, 35 of them (23.2%) had PTA, and 116 (76.8%) had endovascular stenting. Twenty-two patients had periprocedural complications. There was no significant difference in the complication rates between the PTA (14.3%) and stent (14.7%) groups. Distal embolism was the most common periprocedural complication. Average clinical follow up for 146 patients was 27.3 months. Eleven patients (7.5%) out of 146 had retreatment.

The treatment of petrous and cavernous ICA with PTA and stenting has relatively significant procedure related complication rates and adequate long-term patency.

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经皮腔内颈内动脉成形术或支架植入术治疗颈内动脉石状和海绵状狭窄--系统性综述

过去二十年来，经皮腔内血管成形术（PTA）和支架植入术一直被用于治疗颈内动脉（ICA）狭窄。为了了解PTA和/或支架术治疗颈内动脉瓣和海绵状颈内动脉狭窄的疗效，我们进行了一项系统性研究。共有 151 名患者（平均年龄 64.9 岁）符合分析标准，其中 117 名（77.5%）为男性，34 名（22.5%）为女性。在 151 名患者中，35 人（23.2%）进行了 PTA，116 人（76.8%）进行了血管内支架植入术。22名患者出现了围手术期并发症。PTA组（14.3%）和支架组（14.7%）的并发症发生率无明显差异。远端栓塞是最常见的围手术期并发症。146 名患者的平均临床随访时间为 27.3 个月。PTA和支架术治疗石状和海绵状ICA的手术相关并发症发生率相对较低，且有足够的长期通畅性。

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

Journal of Neuroradiology 医学-核医学

CiteScore

6.10

自引率

5.70%

发文量

142

审稿时长

6-12 weeks

期刊介绍： The Journal of Neuroradiology is a peer-reviewed journal, publishing worldwide clinical and basic research in the field of diagnostic and Interventional neuroradiology, translational and molecular neuroimaging, and artificial intelligence in neuroradiology. The Journal of Neuroradiology considers for publication articles, reviews, technical notes and letters to the editors (correspondence section), provided that the methodology and scientific content are of high quality, and that the results will have substantial clinical impact and/or physiological importance.