title: [Safety and feasibility of carotid artery stenting in patients with coexisting carotid and coronary artery disease].
abstract: OBJECTIVE
  To evaluate the safety and feasibility of carotid artery stenting (CAS) for treating patients with coexisting carotid and coronary artery disease.
  
  
  METHODS
  The clinical data of 237 consecutive patients [(66.1 ± 7.7) years old, 79.7% male] with coexisting carotid and coronary artery disease undergoing CAS in Fuwai hospital from January 2005 to June 2010. The patients were analyzed retrospectively.Indication for CAS was defined as carotid artery diameter reduction of > 60% (symptomatic) or > 80% (asymptomatic) with suitable carotid artery anatomy for stenting. Thirty-day rates of stroke, death and myocardial infarction after CAS were assessed.
  
  
  RESULTS
  All patients suffered from coronary artery disease, of whom 87(36.7%) had unstable angina pectoris and 82(34.6%) had recent myocardial infarction (< 30 days). The procedural success rate of CAS was 99.2 % (235/237). Cerebral protection devices were used in 234 patients (99.6%). Among them, 36(15.2%) patients received simultaneous bilateral CAS and 79(33.3%) patients underwent simultaneous percutaneous intervention of other non-coronary arteries.Within 30 days after CAS, 127(53.6%) patients underwent coronary revascularization, including 118(49.6%) coronary artery bypass grafting and 9 (3.8%) percutaneous coronary intervention. The rate of major stroke, minor stroke, death and myocardial infarction from time of CAS to 30 days was 2.1% (5/237), 3.0% (7/237),0.4% (1/237) and 0.4% (1/237) respectively.
  
  
  CONCLUSIONS
  Data from this study indicate that CAS is safe and feasible for treating patients with coexisting carotid and coronary artery disease with a low incidence of periprocedural complication rate.
authors.affiliation: Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Dong
authors.forename: Xiong-jing
authors.initials: XJ
authors.lastname: Jiang
authors.forename: Ting
authors.initials: T
authors.lastname: Guan
authors.forename: Hui-min
authors.initials: HM
authors.lastname: Zhang
authors.forename: Si-yong
authors.initials: SY
authors.lastname: Teng
authors.forename: Meng
authors.initials: M
authors.lastname: Peng
authors.forename: Wei
authors.initials: W
authors.lastname: Ji
authors.forename: Yue-jin
authors.initials: YJ
authors.lastname: Yang
authors.forename: Run-lin
authors.initials: RL
authors.lastname: Gao
mesh_terms: D000368:Aged; D002339:Carotid Arteries; D016893:Carotid Stenosis / Q000150:complications / Q000628:therapy*; D003324:Coronary Artery Disease / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents