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ORIGINAL ARTICLE

Complications of Angioplasty and Stenting of Cervicocerebral Arteries in Iran

Kavian Ghandehari, MD, Keyvan Edraki, MD1, Mohammad Karimi, MD2, Asgar Ghorbani, MD3, Afshin Borhani Haghighi, MD4, Mahmood Shabestari, MD

Mashhad University of Medical Sciences
1 Kourosh Private Interventional Center, Tehran
2 Milad Hospital, Tehran
3 Tehran University of Medical Sciences
4 Shiraz University of Medical Sciencesl, Iran

Kavian Ghandehari, MD Tel: +98 511 8012398 Fax: +98 511 8429828 Email: kavianghandehari{at}yahoo.com, Department of Neurology, Ghaem Hospital, Ahmadabad Street, PO Box 91766-99199, Mashhad, Iran.

ABSTRACT

Angioplasty and stenting of the cervicocerebral arteries is a novel treatment for atherosclerotic stenosis, which has periprocedural complications. Data were collected prospectively from 2007 to 2009 in a multicenter cohort of patients undergoing interventions for cervicocerebral stenosis. Retrospective assessment of the 2003–2006 archives of the same interventionists and a review of their published work is the second part of this national survey. In 592 extracranial internal carotid artery angioplasty and stenting procedures in 581 patients (73% male; mean age, 63.4 ± 7 years), transient ischemic attack, stroke, intracerebral hemorrhage, and death occurred in 1.7%, 1.7%, 0.34%, and 1.52%, respectively. In 114 extracranial vertebral artery angioplasty and stenting procedures in 110 patients (68% male; mean age, 65.3 ± 6 years), transient ischemic attack and stroke each developed in 1 (0.92%) patient, but there was no intracerebral hemorrhage or death. In 70 intracranial angioplasty and stenting procedures in 67 patients (76% male; mean age, 68.5 ± 8 years), transient ischemic attack, stroke, intracerebral hemorrhage, and death were observed in 1.4%, 8.6%, 1.4%, and 2.9%, respectively. The frequency of periprocedural complications in angioplasty and stenting of cervicocerebral arteries by our neurointerventionists was similar to that in developed countries.

Key Words: Angioplasty • Balloon • Carotid Stenosis • Cerebral Arterial Diseases • Drug-Eluting Stents • Stents

Asian Cardiovasc Thorac Ann 2010; 18:49-53
© 2010 by SAGE Publications
DOI: 10.1177/0218492309355598




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