Restenosis after carotid angioplasty and stenting: a follow-up study with duplex ultrasonography

被引：54
作者：
Christiaans, MH
Ernst, JMPG
Suttorp, MJ
van den Berg, JC
Overtoom, TTC
Kelder, JC
Mauser, HW
Ackerstaff, RGA
机构：
[1] St Antonious Hosp, Dept Clin Neurophysiol, NL-3430 EM Utrecht, Netherlands
[2] St Antonious Hosp, Dept Cardiol, Utrecht, Netherlands
[3] St Antonious Hosp, Dept Radiol, Utrecht, Netherlands
[4] St Antonious Hosp, Dept Res & Dev, Utrecht, Netherlands
[5] Univ Utrecht, Dept Neurol, NL-3584 CX Utrecht, Netherlands
来源：
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2003年 / 26卷 / 02期
关键词：
CAS; restenosis; duplex ultrasonography; follow-up;
D O I：
10.1016/S1078-5884(03)00246-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Objectives: To prospectively document the incidence, location, risk factors for and clinical consequences of restenosis after carotid artery angioplasty and stenting (CAS). Methods: Serial duplex and neurological examinations were performed in 217 patients one day (n = 216), 3 (n 189), 12 (n = 129) and 24 (n = 48) months, after CAS. The relationship between patient, lesion and procedure variables and restenosis was determined at 12 months. Results: The prevalence of restenosis greater than or equal to 50% was 14, 16, 18, and 21%, respectively, and was only significantly related with loss of proximal stent apposition (odds ratio 3.4, 95% confidence interval: 1.0-11.7, p < 0.05). Four restenoses were symptomatic. Conclusions: Restenosis after CAS is common, unpredictable but infrequently symptomatic.
引用
收藏
页码：141 / 144
页数：4
相关论文
共 36 条
[11]  
2
[12]   Vessel size and long-term outcome after coronary stent placement [J].
Elezi, S ;
Kastrati, A ;
Neumann, FJ ;
Hadamitzky, M ;
Dirschinger, J ;
Schömig, A .
CIRCULATION, 1998, 98 (18) :1875-1880
[13]   Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European carotid surgery trial (ECST) [J].
Farrell, B ;
Fraser, A ;
Sandercock, P ;
Slattery, J ;
Warlow, CP .
LANCET, 1998, 351 (9113) :1379-1387
[14]   High incidence of restenosis/reocclusion of stents in the percutaneous treatment of long-segment superficial femoral artery disease after suboptimal angioplasty [J].
Gray, BH ;
Sullivan, TM ;
Childs, MB ;
Young, JR ;
Olin, JW .
JOURNAL OF VASCULAR SURGERY, 1997, 25 (01) :74-83
[15]   Long-term results of elective stenting for severe carotid artery stenosis in Taiwan [J].
Kao, HL ;
Lin, LY ;
Lu, CJ ;
Jeng, JS ;
Yip, PK ;
Lee, YT .
CARDIOLOGY, 2002, 97 (02) :89-93
[16]   Influence of lesion length on restenosis after coronary stent placement [J].
Kastrati, A ;
Elezi, S ;
Dirschinger, J ;
Hadamitzky, M ;
Neumann, FJ ;
Schömig, A .
AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (12) :1617-1622
[17]  
Kastrati A, 2001, CIRCULATION, V103, P2816
[18]   Stented segment length as an independent predictor of restenosis [J].
Kobayashi, Y ;
De Gregorio, J ;
Kobayashi, N ;
Akiyama, T ;
Reimers, B ;
Finci, L ;
Di Mario, C ;
Colombo, A .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 34 (03) :651-659
[19]   SCREENING FOR ASYMPTOMATIC INTERNAL CAROTID-ARTERY STENOSIS - DUPLEX CRITERIA FOR DISCRIMINATING 60-PERCENT TO 99-PERCENT STENOSIS [J].
MONETA, GL ;
EDWARDS, JM ;
PAPANICOLAOU, G ;
HATSUKAMI, T ;
TAYLOR, LM ;
STRANDNESS, DE ;
PORTER, JM .
JOURNAL OF VASCULAR SURGERY, 1995, 21 (06) :989-994
[20]   CORRELATION OF NORTH-AMERICAN SYMPTOMATIC CAROTID ENDARTERECTOMY TRIAL (NASCET) ANGIOGRAPHIC DEFINITION OF 70-PERCENT TO 99-PERCENT INTERNAL CAROTID-ARTERY STENOSIS WITH DUPLEX SCANNING [J].
MONETA, GL ;
EDWARDS, JM ;
CHITWOOD, RW ;
TAYLOR, LM ;
LEE, RW ;
CUMMINGS, CA ;
PORTER, JM ;
THIELE, B ;
HOBSON, R ;
RICOTTA, J ;
HUNINK, M ;
CUNHA, SS ;
BARNES, R .
JOURNAL OF VASCULAR SURGERY, 1993, 17 (01) :152-159
1234