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Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449

Resumo

BOSIERS, Marc; KLEINSORGE, Gustavo Henrique Dumont; KOEN, Deloose  e  NAVARRO, Túlio Pinho. Carotid artery surgery: back to the future. J. vasc. bras. [online]. 2011, vol.10, n.1, pp.44-49. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492011000100008.

In this study we performed 548 carotid revascularizations between 2006 and 2008 at the Department of Vascular Surgery of the A.Z. Sint-Blasius, Dendermonde, Belgium - a high-volume experienced center for carotid artery stenting (CAS). In 2006, our 30-day complication rates were 3.21 and 1.51% for symptomatic and asymptomatic patients, respectively. At that time, CAS represented approximately 86% of all cases we performed. However, the publication of the results of EVA-3S and SPACE studies drove us to reconsider our treatment allocation algorithm. In 2007 and 2008, CAS procedures only accounted for 43% of all carotid procedures, which was a result of strict patient selection with comorbidities and high-risk lesions assessment, especially in symptomatic patients. Our current 30-day stroke/death rates are 1.24% for symptomatic patients and 0.53% for asymptomatic ones, which reflects that correct patient selection is the key to maintain CAS as a valuable alternative to carotid endarterectomy.

Palavras-chave : Endarterectomy; endarterectomy; carotid; angioplasty; carotid stenosis; patient selection.

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