Donate Help Contact The AHA Sign In Home
American Heart Association
Stroke
Search: search_blue_button Advanced Search
« Previous Article | Table of Contents | Next Article »
Stroke. 1996;27:2271-2273

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gil-Peralta, A.
Right arrow Articles by Duran, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gil-Peralta, A.
Right arrow Articles by Duran, F.

(Stroke. 1996;27:2271-2273.)
© 1996 American Heart Association, Inc.

Articles

Percutaneous Transluminal Angioplasty of the Symptomatic Atherosclerotic Carotid Arteries

Results, Complications, and Follow-up

Alberto Gil-Peralta, MD; Antonio Mayol, MD; Jose R. Gonzalez Marcos, MD; Alejandro Gonzalez, MD; Jose Ruano, MD; Fernando Boza, MD Fernando Duran, MD

the Departments of Neurology (A.G-P., J.R.G.M.); Interventional Radiology (A.M., A.G.); Intensive Care Unit (J.R.); Neurophysiology (F.B.); and Neurosurgery (F.D.), Hospital Universitario Virgen del Rocio, Seville, Spain.

Correspondence to Dr Alberto Gil-Peralta, Servicio de Neurologia, Hospital U Virgen del Rocio, Avda Manuel Siurot s/n, 41013 Seville, Spain.

Background and Purpose Carotid endarterectomy reduces stroke risk in patients with >70% symptomatic stenosis. We present our results of percutaneous transluminal angioplasty (PTA) as an alternative treatment.

Methods Ninety-eight patients with symptomatic >70% stenosis of the internal carotid artery were considered for PTA. Details of the procedure, complications, and 4-year follow-up were registered.

Results Eighty-five PTAs were performed in a 4-year period. Transient cardiovascular effects were frequent: hypotension (54.1%), bradycardia (67.1%), asystole (25.9%), and syncope (16.5%). Transient ischemic attack occurred in 3 of 82 patients (3.7%), and disabling stroke occurred in 4 (4.9%); mortality was 0%. After a mean follow-up period of 18.7 months, 4 patients died, 1 due to fatal stroke. The overall probability of surviving any stroke or death was 86.7%. Restenosis (>70%) was seen in 6 cases (7.4%).

Conclusions PTA may be a reasonable treatment for symptomatic atherosclerotic stenosis, at least in patients at high risk for carotid endarterectomy.


Key Words: angioplasty • atherosclerosis • carotid artery diseases • carotid endarterectomy




This article has been cited by other articles:


Home page
 Am. J. Neuroradiol.Home page
E. Martinez-Fernandez, F. B. Garcia, J.R. Gonzalez-Marcos, A. G. Peralta, A. G. Garcia, and A. M. Deya
Clinical and Electroencephalographic Features of Carotid Sinus Syncope Induced by Internal Carotid Artery Angioplasty
AJNR Am. J. Neuroradiol., February 1, 2008; 29(2): 269 - 272.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
M.B. Sanchez-Arjona, G. Sanz-Fernandez, E. Franco-Macias, and A. Gil-Peralta
Cerebral Hemodynamic Changes after Carotid Angioplasty and Stenting
AJNR Am. J. Neuroradiol., April 1, 2007; 28(4): 640 - 644.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
L. J. Coward, R. L. Featherstone, and M. M. Brown
Safety and Efficacy of Endovascular Treatment of Carotid Artery Stenosis Compared With Carotid Endarterectomy: A Cochrane Systematic Review of the Randomized Evidence
Stroke, April 1, 2005; 36(4): 905 - 911.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. J.H. McCabe, A. C. Pereira, A. Clifton, J. M. Bland, M. M. Brown, and on behalf of the CAVATAS Investigators
Restenosis After Carotid Angioplasty, Stenting, or Endarterectomy in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS)
Stroke, February 1, 2005; 36(2): 281 - 286.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
R. T. Higashida, P. M. Meyers, C. C. Phatouros, J. J. Connors III, J. D. Barr, D. Sacks, and for the Technology Assessment Committees of the Am
Reporting Standards for Carotid Artery Angioplasty and Stent Placement
Stroke, May 1, 2004; 35(5): e112 - e134.
[Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
J. D. Barr, J. J. Connors III, D. Sacks, J. C. Wojak, G. J. Becker, J. F. Cardella, B. Chopko, J. E. Dion, A. J. Fox, R. T. Higashida, et al.
Quality Improvement Guidelines for the Performance of Cervical Carotid Angioplasty and Stent Placement: Developed by a Collaborative Panel of the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, and the Society of Interventional Radiology
AJNR Am. J. Neuroradiol., November 1, 2003; 24(10): 2020 - 2034.
[Full Text] [PDF]

Home page
 StrokeHome page
F.M. McKevitt, A. Sivaguru, G.S. Venables, T.J. Cleveland, P.A. Gaines, J.D. Beard, and K.S. Channer
Effect of Treatment of Carotid Artery Stenosis on Blood Pressure: A Comparison of Hemodynamic Disturbances After Carotid Endarterectomy and Endovascular Treatment
Stroke, November 1, 2003; 34(11): 2576 - 2581.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
E. C. Kirsch, M. S. Khangure, G. P. van Schie, M. M. Lawrence-Brown, E. G. Stewart-Wynne, and W. McAuliffe
Carotid Arterial Stent Placement: Results and Follow-up in 53 Patients
Radiology, September 1, 2001; 220(3): 737 - 744.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
C. C. Phatouros, R. T. Higashida, A. M. Malek, P. M. Meyers, T. E. Lempert, C. F. Dowd, and V. V. Halbach
Carotid Artery Stent Placement for Atherosclerotic Disease: Rationale, Technique, and Current Status
Radiology, October 1, 2000; 217(1): 26 - 41.
[Abstract] [Full Text]

Home page
 StrokeHome page
J. Golledge, A. Mitchell, R. M. Greenhalgh, and A. H. Davies
Systematic Comparison of the Early Outcome of Angioplasty and Endarterectomy for Symptomatic Carotid Artery Disease
Stroke, June 1, 2000; 31(6): 1439 - 1443.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
A. I. Qureshi, A. R. Luft, V. Janardhan, M. F. K. Suri, M. Sharma, G. Lanzino, A. K. Wakhloo, L. R. Guterman, and L. N. Hopkins
Identification of Patients at Risk for Periprocedural Neurological Deficits Associated With Carotid Angioplasty and Stenting
Stroke, February 1, 2000; 31(2): 376 - 382.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. J. H. McCabe, M. M. Brown, and A. Clifton
Fatal Cerebral Reperfusion Hemorrhage After Carotid Stenting
Stroke, November 1, 1999; 30 (11): 2483 - 2486.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
H. I. Manninen, H. T. Räsänen, R. L. Vanninen, P. Vainio, M. Hippeläinen, and V.-M. Kosma
Stent Placement versus Percutaneous Transluminal Angioplasty of Human Carotid Arteries in Cadavers in Situ: Distal Embolization and Findings at Intravascular US, MR Imaging, and Histopathologic Analysis
Radiology, August 1, 1999; 212(2): 483 - 492.
[Abstract] [Full Text]

Home page
 StrokeHome page
M. P. Marks, M. Marcellus, A. M. Norbash, G. K. Steinberg, D. Tong, and G. W. Albers
Outcome of Angioplasty for Atherosclerotic Intracranial Stenosis
Stroke, May 1, 1999; 30(5): 1065 - 1069.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
D. C. Suh, K.-B. Sung, Y. S. Cho, C. G. Choi, H. K. Lee, J. H. Lee, J. S. Kim, and M. C. Lee
Transluminal Angioplasty for Middle Cerebral Artery Stenosis in Patients with Acute Ischemic Stroke
AJNR Am. J. Neuroradiol., April 1, 1999; 20(4): 553 - 558.
[Abstract] [Full Text]

Home page
 DTBHome page
Managing carotid stenosis
DTB, February 1, 1998; 36(2): 9 - 12.
[Abstract] [Full Text] [PDF]


Stroke Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search
Copyright © 1996 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited.