Outcomes Following Carotid Endarterectomy and Carotid Artery Stenting in Patients with Carotid Artery Stenosis: A Retrospective Study from a Single Center in South Korea
DC Field | Value | Language |
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dc.contributor.author | Kim, Myung Ji | - |
dc.contributor.author | Ha, Sung-Kon | - |
dc.date.accessioned | 2023-01-31T00:40:02Z | - |
dc.date.available | 2023-01-31T00:40:02Z | - |
dc.date.issued | 2023-02 | - |
dc.identifier.issn | 1234-1010 | - |
dc.identifier.issn | 1643-3750 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/62297 | - |
dc.description.abstract | BACKGROUND Previous randomized controlled trials and meta-analyses comparing carotid endarterectomy (CEA) and carotid artery stenting (CAS) included a large number of patients, but the diagnosis, treatment selection, and performance were heterogeneous. This retrospective study from a single center in South Korea aimed to evaluate outcomes following CEA and CAS in patients with carotid artery stenosis. MATERIAL AND METHODS A retrospective analysis was performed using the data of patients who underwent carotid revascularization between September 2016 and June 2021 at a single institution. The primary outcomes were stroke, myocardial infarction (MI), and death during the periprocedural period. RESULTS We enrolled a total of 61 (44 symptomatic and 17 asymptomatic) patients who underwent CEA or CAS. Among them, 36 (59%) underwent CEA and 25 (41%) underwent CAS. Statistically significant differences were found between the groups in degree of carotid stenosis (CEA: 87.0±9.1, CAS: 80.5±9.3, P=0.007). All patients with confirmed plaque ulceration before carotid revascularization underwent CEA. Two (3.3%) periprocedural strokes occurred, 1 in each group, on the ipsilateral side. There were no significant differences between CEA and CAS in the event-free survival rate for stroke during the follow-up (log-rank test=0.806). CONCLUSIONS Favorable outcomes in terms of periprocedural stroke were observed. We found no significant difference between the 2 carotid revascularization techniques in the incidence of periprocedural stroke in symptomatic and asymptomatic patients. To confirm our findings, further studies involving a larger number of patients and continuous follow-up are necessary. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Medical Science International Publishing | - |
dc.title | Outcomes Following Carotid Endarterectomy and Carotid Artery Stenting in Patients with Carotid Artery Stenosis: A Retrospective Study from a Single Center in South Korea | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.12659/msm.939223 | - |
dc.identifier.wosid | 000964508600001 | - |
dc.identifier.bibliographicCitation | Medical Science Monitor, v.29 | - |
dc.citation.title | Medical Science Monitor | - |
dc.citation.volume | 29 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Research & Experimental Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, Research & Experimental | - |
dc.subject.keywordPlus | REVASCULARIZATION ENDARTERECTOMY | - |
dc.subject.keywordPlus | STROKE | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | ANGIOPLASTY | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | DEATH | - |
dc.subject.keywordAuthor | Carotid Stenosis | - |
dc.subject.keywordAuthor | Endarterectomy, Carotid | - |
dc.subject.keywordAuthor | Stents | - |
dc.subject.keywordAuthor | Stroke | - |
dc.subject.keywordAuthor | Ischemic Attack, Transient | - |
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