title: [Features of carotid stenting in elderly: predictors of adverse outcomes (review of literature)].
abstract: This article presents the review of literature devoted to studying of features of carotid angioplasty and stenting (CAS) in older patients. Age has been shown to be a predictor of neurological complications during CAS. However, it has been demonstrated recently that carotid stenting can be performed safely in patients over 70 and even 80 years. According to researchers, predictors of mortality were remote (≥ 6 months) transient ischemic attack or cerebrovascular accident, smoking history, creatinine clearance and hemoglobin level. Better selection of patients using the predictors of mortality may help to reduce unwarranted procedures and to optimize survival likelihood. Furthermore, CAS could be safely performed in elderly patients if certain anatomical and clinical markers such as excessive vascular tortuosity, heavy concentric calcification of the lesion and decreased cerebral reserve were avoided. However, additional randomized trial data are needed.
authors.forename: A V
authors.initials: AV
authors.lastname: Smol'nikov
authors.forename: K L
authors.initials: KL
authors.lastname: Kozlov
authors.forename: É Iu
authors.initials: ÉIu
authors.lastname: Kachesov
authors.forename: V V
authors.initials: VV
authors.lastname: Tishko
authors.forename: I B
authors.initials: IB
authors.lastname: Oleksiuk
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000401:mortality; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D006801:Humans; D018579:Patient Selection; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects; D016019:Survival Analysis; D016896:Treatment Outcome