Percutaneous transluminal angioplasty or stenting of petrous and cavernous internal carotid artery stenosis - a systematic review

被引:2
作者
Salih, Mira [1 ]
Mallick, Akashleena [1 ]
Rai, Hamid Hussain [2 ]
Nwajei, Felix [3 ]
Cappuzzo, Justin M. [2 ]
Snyder, Kenneth [2 ]
Ogilvy, Christopher S. [1 ]
机构
[1] Harvard Med Sch, Neurosurg Serv, Beth Israel Deaconess Med Ctr, 110 Francis St Boston, Boston, MA 02215 USA
[2] Univ Buffalo, Neurosurg, Buffalo, NY USA
[3] Boston Med Ctr, Boston, MA USA
关键词
Petrous; Cavernous; Internal carotid artery stenosis; Percutaneous transluminal angioplasty; Stenting; Systematic review; DRUG-ELUTING STENTS; HIGH-RISK PATIENTS; INTRACRANIAL ATHEROSCLEROSIS; EXPERIENCE; ENDARTERECTOMY; PLACEMENT; THERAPY; DISEASE; PORTION;
D O I
10.1016/j.neurad.2023.06.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Percutaneous transluminal angioplasty (PTA) and stenting have been used for the treatment of internal carotid artery (ICA) stenosis over the past two decades. A systematic review was performed to understand the efficacy of PTA and/or stenting for petrous and cavernous ICA stenosis. In total, 151 patients (mean age 64.9) met criteria for analysis, 117 (77.5%%) were male and 34 (22.5%) were female. Of the 151 patients, 35 of them (23.2%) had PTA, and 116 (76.8%) had endovascular stenting. Twenty-two patients had periprocedural complications. There was no significant difference in the complication rates between the PTA (14.3%) and stent (14.7%) groups. Distal embolism was the most common periprocedural complication. Average clinical follow up for 146 patients was 27.3 months. Eleven patients (7.5%) out of 146 had retreatment. The treatment of petrous and cavernous ICA with PTA and stenting has relatively significant procedure related complication rates and adequate long-term patency. (c) 2023 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:82 / 88
页数:7
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