Retrospective Evaluation of Carotid Artery Stenting Experience of Neurology Clinic of Selçuk University

Abstract

Objective: Thirty percent of all acute ischemic strokes cause is the internal carotid artery stenosis or occlusion. The carotid artery stenting (CAS) was rarely performed in early time, was used more frequently with the development of angiographic method and materials. In this study, we aimed to evaluate the success rates, clinical outcomes and complications of carotid stenting due to carotid stenosis in the Neurology Department of Selçuk University. Materials and Methods: The patients who underwent conventional angiography between November 2017 and August 2018 were evaluated retrospectively in the Neurology Department of Selçuk University. Ninety four patients who underwent conventional angiography due to carotid artery stenosis were included in the study. Fifty four of 94 patients underwent CAS. Control carotid doppler and/or carotid CT angiography was performed at 1 month after discharge. Neurological examinations of the patients were also repeated. Results: The operation success rate was 96.3% (two patients developed minor stroke at the 2 hours after the procedure). No deaths or major stroke occurred in any of these patients with CAS. No ischemic cerebrovascular event or transient ischemic attack occurred in any of the patients at 1 months follow-up. No restenosis was observed in any of the carotid doppler follow-ups or CT anjiyography. Conclusion: In conclusion, we have shown that CAS performed by neurology clinics is effective and reliable. We have also shown that a protective device is not necessary for the risk of distal embolism in these patients.

Keywords

• Carotid stenosis
• carotid artery stenting (CAS)
• carotid end arterectomy (CEA)
• conventional angiography