American Journal of Cardiology
Volume 104, Issue 5 , Pages 725-731 , 1 September 2009

Effectiveness and Safety of Carotid Artery Stenting for Significant Carotid Stenosis in Patients With Contralateral Occlusion (from the German ALKK-CAS Registry Experience)

  • Rajendra H. Mehta, MD, MS

      Affiliations

    • Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina
    • Corresponding Author InformationCorresponding author: Tel: (919) 668-8971; fax: (919) 668-7059
    • ,
  • Ralf Zahn, MD

      Affiliations

    • Klinikum Ludwigshafen, Ludwigshafen, Germany
    • ,
  • Matthias Hochadel, MD

      Affiliations

    • Stiftung Institut für Herzinfarktforschung an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Harald Mudra, MD

      Affiliations

    • Klinikum Neuperlach, Munich, Germany
    • ,
  • Thomas Ischinger, MD

      Affiliations

    • Klinikum Bogenhausen, Munich, Germany
    • ,
  • Karl-Eugen Hauptmann, MD

      Affiliations

    • Krankenhaus der Barmherzigen Brüder, Trier, Germany
    • ,
  • Jens Jung, MD

      Affiliations

    • Klinikum Worms, Worms, Germany
    • ,
  • Hubert Seggewiß, MD

      Affiliations

    • Leopoldina-Krankenhaus, Schweinfurt, Germany
    • ,
  • Uwe Zeymer, MD

      Affiliations

    • Klinikum Ludwigshafen, Ludwigshafen, Germany
    • ,
  • Jochen Senges, MD

      Affiliations

    • Klinikum Ludwigshafen, Ludwigshafen, Germany
    • ,
  • German Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte Carotid Artery Stent (ALKK-CAS) Registry

Received 26 March 2009 ,Revised 27 April 2009 ,Accepted 27 April 2009.

References 

  1. Zahn R, Mark B, Niedermaier N, Zeymer U, Limbourg P, Ischinger T, et al. Embolic protection devices for carotid artery stenting better results than stenting without protection?. Eur Heart J. 2004;25:1550–1558
  2. Zahn R, Ischinger T, Mark B, Gass S, Zeymer U, Schmalz W, et al. Embolic protection devices for carotid artery stenting: is there a difference between filter and distal occlusive devices?. J Am Coll Cardiol. 2005;45:1769–1774
  3. Mehta RH, Zahn R, Hochadel M, Ischinger T, Schmalz W, Hauptmann KE, et al. Comparison of in-hospital outcomes of patients with versus without previous carotid endarterectomy undergoing carotid stenting (from the German ALKK-CAS Registry). Am J Cardiol. 2007;99:104–1091288–1293
  4. Gasecki AP, Eliasziw M, Ferguson GG, Hachinshi V, Barnett HJM North American Symptomatic Carotid Endarterectomy Trial (NASCET) Group. Long-term prognosis and effect of endarterectomy in patients with symptomatic severe carotid stenosis and contralateral carotid occlusion: results from NASCET. J Neurosurg. 1995;83:778–782
  5. Brott T, Adams HP, Olinger CP, Marler JP, Barsan WG, Biller J, et al. Measurements of acute cerebral infarction a clinical examination scale. Stroke. 1989;20:864–870
  6. The North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325:445–453
  7. Bates ER, Babb JD, Casey DE, Cates CU, Duckwiler GR, Feldman TE, et al. ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus documents. J Am Coll Cardiol. 2007;49:126–170
  8. Baker WH, Howard VJ, Howard G, Toole JF ACAS Investigators. Effect of contralateral occlusion on long-term efficacy of endarterectomy in the Asymptomatic Carotid Atherosclerosis Study (ACAS). Stroke. 2000;31:2330–2334
  9. Aburahma AF, Metz MJ, Robinson PA. Natural history of >60% asymptomatic carotid stenosis in patients with contralateral carotid occlusion. Ann Surg. 2003;238:551–562
  10. Derlu GP, Ftranceschi L, Milite D, Calabron A, Sala A, Grego F, et al. Carotid endarterectomy in patients with contralateral carotid artery occlusion: perioperative hazards and late results. Ann Vasc Surg. 1994;8:337–342
  11. Adelman MA, Jacobowitz GR, Riles TS, Imparato AM, Lamparelio PJ, Baumann FG, et al. Carotid endarterectomy in the presence of a contralateral occlusion: a review of 315 cases over a 27-year experience. Cardiovasc Surg. 1995;3:307–312
  12. Coyle KA, Smith RB, Salam AA, Dodson TF, Chaikof EL, Lumsden AB. Carotid endarterectomy in patients with contralateral carotid occlusion: a review of 10-year experience. Cardiovasc Surg. 1996;4:71–75
  13. Aungst M, Gahtan V, Berkowitz H, Roberts AB, Kerstein MD. Carotid endarterectomy outcome is not affected in patients with a contralateral carotid occlusion. Am J Surg. 1998;176:30–33
  14. Pulli R, Dorigo W, Barbanti E, Azas L, Russo D, Matticari S, et al. Carotid endarterectomy with contralateral occlusion: is this a higher risk subgroup?. Eur J Endovasc Surg. 2002;24:63–68
  15. Rothwell PM, Slatery J, Warlow CP. Clinical and angiographic predictors of stroke and death from carotid endarterectomy: systematic review. BMJ. 1997;315:1571–1577
  16. Gandini R, Spinelli A, Fabiano S, Colangelo V, Marciani MG, Romigi A, et al. Carotid artery stenting with filter protection in high-risk patients showing severe electroencephalographic alterations during carotid endarterectomy. J Endovasc Ther. 2006;13:451–456
  17. Mathur A, Roubin GS, Gomez CR, Iyer SS, Wong PM, Piamsomboon C, et al. Elective carotid artery stenting in the presence of contralateral occlusion. Am J Cardiol. 1998;81:1315–1317
  18. Mericle RA, Kim SH, Lanzino G, Lopes DK, Wakhloo AK, Guterman LR, et al. Carotid artery angioplasty and use of stents in high-risk patients with contralateral occlusions. J Neurosurg. 1999;90:1031–1036
  19. Sabeti S, Schillinger M, Miekusch W, Nachtmann T, Lang W, Ahmadi R, et al. Contralateral high-grade carotid artery stenosis or occlusion is not associated with increased risk for poor neurologic outcome after elective carotid stent placement. Radiology. 2004;230:70–76
  20. Gonzalez A, Gonzalez-Marcos JR, Martinez E, Boza F, Cayuela A, Mayol A, et al. Safety and security of carotid artery stenting for severe stenosis of contralateral occlusion. Cerebrovasc Dis. 2005;20(Suppl 2):123–128
  21. Gupta AK, Purkayastha S, Kapilamoorthy TR, Bodhey TK, Thomas B. Carotid artery stenting: results and long-term follow-up. Neurol India. 2006;54:68–72
  22. Abou-Chebl A, Yadav JS, Reginelli JP, Bajzer C, Bhatt D, Krieger DW. Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting: risk factors, prevention, and treatment. J Am Coll Cardiol. 2004;43:1596–1601

 Dr. Mehta was funded by the Duke Clinical Research Institute, Durham, North Carolina.

PII: S0002-9149(09)01006-6

doi: 10.1016/j.amjcard.2009.04.038

American Journal of Cardiology
Volume 104, Issue 5 , Pages 725-731 , 1 September 2009

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