Artículo

Parodi, J.C.; La Mura, R.; Ferreira, L.M.; Mendez, M.V.; Cersósimo, H.; Schönholz, C.; Garelli, G. "Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices" (2000) Journal of Vascular Surgery. 32(6):1127-1136
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Abstract:

Objective: The purpose of the study was to assess the effectiveness of cerebral protection devices during carotid artery angioplasty and stent placement. Methods: Between September 1998 and September 1999, carotid angioplasty and stenting were performed in 46 patients with symptomatic (39.1%) or asymptomatic (60.9%) severe carotid artery stenosis. Wallstents were used in all patients with selective predilatation. Cerebral protection devices were used in 25 of these patients. Primary end points were perioperative neurologic complications and mortality. Data were collected prospectively. Results: The overall combined end point of all neurologic deficits and death rate was 4.34%. Two neurologic events (one transient ischemic attack and one minor stroke) occurred in the unprotected group (9.53%) versus none in the group with cerebral protection. This difference is not statistically significant. The mortality rate was 0% for both groups. On an intention to treat basis, the overall technical success rate for carotid angioplasty was 97.8%, and for placement of cerebral protection devices it was 100%. An important number of particles of different sizes were captured in all cases in which cerebral protection devices were used. Conclusion: Experience has shown that cerebral protection during carotid angioplasty and stenting is technically feasible and appears to be effective in preventing procedure-related neurologic complications. Further investigation is warranted.

Registro:

Documento: Artículo
Título:Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices
Autor:Parodi, J.C.; La Mura, R.; Ferreira, L.M.; Mendez, M.V.; Cersósimo, H.; Schönholz, C.; Garelli, G.
Filiación:Department of Vascular Surgery, Instituto Cardiovascular Buenos AiresArgentina, Argentina
Palm Beach Surgical GroupArgentina
Clínica La Sagrada Familia, Argentina
ICBA, Blanco Encalada 1543/47, Ciudad de Buenos Aires 1428, Argentina
Palabras clave:acetylsalicylic acid; clopidogrel; heparin; ticlopidine; adult; aged; angioplasty; article; carotid artery obstruction; carotid artery surgery; clinical article; device; female; human; human cell; human tissue; intermethod comparison; male; neurological complication; particle size; priority journal; stent; treatment outcome
Año:2000
Volumen:32
Número:6
Página de inicio:1127
Página de fin:1136
DOI: http://dx.doi.org/10.1067/mva.2000.109209
Título revista:Journal of Vascular Surgery
Título revista abreviado:J. Vasc. Surg.
ISSN:07415214
CODEN:JVSUE
CAS:acetylsalicylic acid, 493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1; clopidogrel, 113665-84-2, 120202-66-6, 90055-48-4, 94188-84-8; heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5; ticlopidine, 53885-35-1, 55142-85-3
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_07415214_v32_n6_p1127_Parodi

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Citas:

---------- APA ----------
Parodi, J.C., La Mura, R., Ferreira, L.M., Mendez, M.V., Cersósimo, H., Schönholz, C. & Garelli, G. (2000) . Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. Journal of Vascular Surgery, 32(6), 1127-1136.
http://dx.doi.org/10.1067/mva.2000.109209
---------- CHICAGO ----------
Parodi, J.C., La Mura, R., Ferreira, L.M., Mendez, M.V., Cersósimo, H., Schönholz, C., et al. "Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices" . Journal of Vascular Surgery 32, no. 6 (2000) : 1127-1136.
http://dx.doi.org/10.1067/mva.2000.109209
---------- MLA ----------
Parodi, J.C., La Mura, R., Ferreira, L.M., Mendez, M.V., Cersósimo, H., Schönholz, C., et al. "Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices" . Journal of Vascular Surgery, vol. 32, no. 6, 2000, pp. 1127-1136.
http://dx.doi.org/10.1067/mva.2000.109209
---------- VANCOUVER ----------
Parodi, J.C., La Mura, R., Ferreira, L.M., Mendez, M.V., Cersósimo, H., Schönholz, C., et al. Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J. Vasc. Surg. 2000;32(6):1127-1136.
http://dx.doi.org/10.1067/mva.2000.109209