P5.19 TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING: SINGLE-CENTER EXPERIENCE

Damian Maciejewski*; Lukasz Tekieli; Anna Kablak-Ziembicka; Piotr Paluszek; Mariusz Trystula; Karolina Dzierwa; Magdalena Wojcik-Pedziwiatr; Roman Machnik; Grzegorz Lewinski; Piotr Pieniazek

doi:10.1016/j.artres.2015.10.282

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Volume 12, Issue C, December 2015, Pages 24 - 24

P5.19 TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING: SINGLE-CENTER EXPERIENCE

Authors

Damian Maciejewski*¹, Lukasz Tekieli¹, Anna Kablak-Ziembicka¹, Piotr Paluszek², Mariusz Trystula², Karolina Dzierwa¹, Magdalena Wojcik-Pedziwiatr³, Roman Machnik², Grzegorz Lewinski², Piotr Pieniazek¹

¹Department of Interventional Cardiology, Institute of Cardiology, Collegium Medicum, Jagiellonian University, John Paul II Hospital, Krakow, Poland

²Department of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland

³Department of Neurology, John Paul II Hospital, Krakow, Poland

Available Online 23 November 2015.

DOI: 10.1016/j.artres.2015.10.282 How to use a DOI?
Abstract: Objectives: The transfemoral approach is commonly used for carotid artery stenting (CAS) however in cases of severe peripheral vascular disease or unfavorable aortic arch anatomy, the transradial access remains a viable alternative. We report a series of patients with aorto-iliac disease or unsuccessful attempt via femoral access in whom transradial carotid artery stenting was performed.

Material and methods: Sixteen patients (69±10,7 years, 75%men, with >70% stenosis, 10 left-side, 5 contralateral carotid occlusion, 9 with history of stroke or TIA) with peripheral artery disease (PAD) or unsuccessful attempt via femoral access were scheduled for carotid artery angioplasty by radial approach. Clinical and duplex ultrasound (DUS) follow-up were performed before discharge and 1, 12 and 24 months after carotid artery stenting.

Results: The technical success rate was 87,5%. In two cases attempt via femoral and radial access were unsuccessful and the patients were treated by endarterectomy. In other cases CAS was performed with self-expanding bare metal stents. The mean NASCET carotid artery stenosis was reduced from 85% to 9,6% (p<0.001). No periprocedural death, stroke, myocardial infarction or transient ischemic attack occurred. During 24-months follow-up no new acute ischemic neurological symptoms were diagnosed in all patients. One patient died 2 months after intervention due to deterioration of chronic obstructive pulmonary disease.

Conclusion: Transradial carotid artery stenting may be safe and useful alternative when femoral approach is difficult or impossible.
Open Access: This is an open access article distributed under the CC BY-NC license.

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Journal: Artery Research
Volume-Issue: 12 - C
Pages: 24 - 24
Publication Date: 2015/11/23
ISSN (Online): 1876-4401
ISSN (Print): 1872-9312
DOI: 10.1016/j.artres.2015.10.282 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Cite this article

ris enw bib

TY  - JOUR
AU  - Damian Maciejewski*
AU  - Lukasz Tekieli
AU  - Anna Kablak-Ziembicka
AU  - Piotr Paluszek
AU  - Mariusz Trystula
AU  - Karolina Dzierwa
AU  - Magdalena Wojcik-Pedziwiatr
AU  - Roman Machnik
AU  - Grzegorz Lewinski
AU  - Piotr Pieniazek
PY  - 2015
DA  - 2015/11/23
TI  - P5.19 TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING: SINGLE-CENTER EXPERIENCE
JO  - Artery Research
SP  - 24
EP  - 24
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.282
DO  - 10.1016/j.artres.2015.10.282
ID  - Maciejewski*2015
ER  -

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