Percutaneous implantation of endoprostheses in the carotid arteries.
OBJECTIVE
To assess the in-hospital evolution of patients undergoing percutaneous stent placement in the carotid arteries.


METHODS
From August 1996 to April 2001, we studied 86 patients with carotid arterial obliterative lesions > 70% who were treated with percutaneous stent placement in the carotid arteries. We assessed the rate of success of the implantation and of the procedure, the types of stents used, mortality rate, and neurological complications.


RESULTS
Successful implantation was obtained in 98.9% of the cases, and the procedure was successful in 91.8%. The Wallstent was the most frequently used stent (73 patients - 77%). Cerebral strokes occurred as follows: 3 (3.2%) transient ischemic attacks, 1 (1.1%) minor stroke, and 3 (3.1%) major strokes. One (1.1%) patient died during hospitalization.


CONCLUSIONS
The high rate of success of stent implantation (98.9%) in addition to the low rate of cerebral stroke/death (4.2%) showed the efficiency and safety of percutaneous stent placement in carotid arteries.
Costa
José Ribamar
JR
Instituto Dante Pazzanese de Cardiologia, Hospital do Coração, São Paulo, SP, Brazil. mvcosta@uol.com.br
Cano
Manuel N
MN
Oliveira
Dinaldo C
DC
Kambara
Antonio M
AM
Moreira
Adriana C
AC
Queiroz
Rogé rio
Rr
Cano
Silvia
S
Sousa
Amanda G M R
AG
Sousa
J Eduardo M R
JE
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000592:standards*; D001938:Brazil / Q000453:epidemiology; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000401:mortality / Q000628:therapy*; D002533:Cerebral Angiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects; D020521:Stroke / Q000209:etiology