Surgical Treatment for Carotid Stenoses with Highly Calcified Plaques
作者： Hiroyuki Katano , Mitsuhito Mase , Yusuke Nishikawa , Kazuo Yamada
DOI: 10.1016/J.JSTROKECEREBROVASDIS.2012.11.019
关键词:
摘要: Background The aim of this study was to clarify both the present status treatment for carotid stenosis with highly calcified plaques and appropriate treatment. Methods A total 140 consecutive treatments stenoses (carotid endarterectomy [CEA]:carotid artery stenting [CAS] 81:59) were enrolled in study. We classified patients into low-calcified plaque (LCP) high-calcified (HCP) groups by calcium score, determined a receiver operating characteristic analysis, we compared results after treatments. Results mean degree residual improvement rates CAS HCP group 9.7% ± 13.3% 87.0% 16.8%, respectively, whereas those LCP 1.7% 6.1% 97.9% 7.9% (both P Conclusions Carotid (calcium score ≥420) treated showed disadvantage stent expansion LCP, suggesting that CEA may be recommended as surgical option.
elsevier.com
sci-hub.se 参考文章(37)
Takeshi Hiu, Yoichi Morofuji, Naoki Kitagawa, Kazuhiko Suyama, Izumi Nagata, Minoru Morikawa, Kentaro Hayashi, [Case of internal carotid artery stenosis complicated with shower embolism during filter-protected carotid artery stenting]. Brain and nerve. ,vol. 61, pp. 83- 87 ,(2009)
H Katano, K Kato, A Umemura, K Yamada, Perioperative evaluation of carotid endarterectomy by 3D-CT angiography with refined reconstruction: preliminary experience of CEA without conventional angiography. British Journal of Neurosurgery. ,vol. 18, pp. 138- 148 ,(2004) , 10.1080/02688690410001680993
Takeshi Torigai, Mitsuhito Mase, Takayuki Ohno, Hiroyuki Katano, Yusuke Nisikawa, Keita Sakurai, Shigeru Sasaki, Junko Toyama, Kazuo Yamada, Usefulness of Dual and Fully Automated Measurements of Cerebral Blood Flow during Balloon Occlusion Test of the Internal Carotid Artery Journal of Stroke & Cerebrovascular Diseases. ,vol. 22, pp. 197- 204 ,(2013) , 10.1016/J.JSTROKECEREBROVASDIS.2011.07.015
Sonja Schnaudigel, Klaus Gröschel, Sara M. Pilgram, Andreas Kastrup, New Brain Lesions After Carotid Stenting Versus Carotid Endarterectomy Stroke. ,vol. 39, pp. 1911- 1919 ,(2008) , 10.1161/STROKEAHA.107.500603
Dallit Mannheim, Boaz Weller, Eran Vahadim, Ron Karmeli, Carotid endarterectomy with a polyurethane patch versus primary closure: a prospective randomized study. Journal of Vascular Surgery. ,vol. 41, pp. 403- 407 ,(2005) , 10.1016/J.JVS.2004.11.036
Philip P Goodney, Brian W Nolan, Jens Eldrup-Jorgensen, Donald S Likosky, Jack L Cronenwett, Vascular Study Group of Northern New England, Restenosis after carotid endarterectomy in a multicenter regional registry. Journal of Vascular Surgery. ,vol. 52, pp. 897- 905 ,(2010) , 10.1016/J.JVS.2010.05.005
Takatoshi Sorimachi, Kazuhiko Nishino, Kenichi Morita, Osamu Sasaki, Tetsuo Koike, Yasushi Ito, Yukihiko Fujii, Flow Impairment During Filter-Protected Carotid Artery Stent Placement: Frame-by-Frame Evaluation of Digital Subtraction Angiography Images World Neurosurgery. ,vol. 76, pp. 282- 287 ,(2011) , 10.1016/J.WNEU.2011.03.036
Kohkichi Hosoda, Tetsuro Kawaguchi, Kazunari Ishii, Satoshi Minoshima, Eiji Kohmura, Comparison of conventional region of interest and statistical mapping method in brain single-photon emission computed tomography for prediction of hyperperfusion after carotid endarterectomy. Neurosurgery. ,vol. 57, pp. 32- 41 ,(2005) , 10.1227/01.NEU.0000163088.66798.59
Catherine K. Chang, Chetan P. Huded, Brian W. Nolan, Richard J. Powell, Prevalence and clinical significance of stent fracture and deformation following carotid artery stenting Journal of Vascular Surgery. ,vol. 54, pp. 685- 690 ,(2009) , 10.1016/J.JVS.2011.03.257