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April 7, 1998CirculationOpen Access

Predictors of Stroke Complicating Carotid Artery Stenting

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Authors

AMAtul MathurFortis Escorts Heart InstituteGRGary S. RoubinInterventional CardiologySISriram S. IyerSheffield Teaching Hospitals NHS Foundation Trust

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Implication

Cohort study reveals predictors of procedural stroke in patients receiving carotid artery stents, highlighting the critical role of patient selection.

Key Points

  • To identify clinical, anatomical, and procedural factors predisposing patients to neurological complications during elective carotid artery stenting.
  • Analyzed 231 high-risk patients who underwent elective primary stenting across 271 extracranial carotid arteries (mean age 68.7±10 years; 71% male; 60% symptomatic).
  • Assessed clinical, plaque morphological, and procedural determinants for association with 30-day procedural strokes using multivariate analysis.
  • Procedural stroke occurred in 19 interventions (7.0% total), consisting of 17 minor strokes (6.2%) and 2 major strokes (0.7%), whereas NASCET-eligible patients experienced a 2.7% stroke rate.
  • Multivariate analysis identified advanced age (P=0.006) and the presence of long or multiple stenoses (P=0.006) as independent predictors of procedural stroke.

Cite This Study

Mathur et al. (1998) studied this question.

synapsesocial.com/papers/6a75af8e06e84d3015dd7ff0https://doi.org/10.1161/01.cir.97.13.1239
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis1991 · 8,508 citations
  2. 2Predicting complications of carotid endarterectomy.1993 · 215 citations