Ordoñez-Solorio LA, Melo-Guzmán G, Lizarazu-Gutiérrez EW, Oliva-Castruita UE, Villalpando-Espinoza J, Murillo-Ponce C, Sarmiento-Mercado-Eddy R, Mendizábal-Guerra R

Language: Spanish
References: 13
Page: 31-41
PDF size: 418.62 Kb.

ABSTRACT

Introduction: The stenosis of the internal carotid artery is one of the most important causes of ischemic stroke. Nowadays, endovascular therapy has been established as an alternative to endarterectomy in patients who would benefit from it, but in whom surgery is not deemed appropriate, due to a high surgical or anesthetic risk.
Objective: To analyze retrospectively the results obtained in patients treated with endovascular therapy in the Department of Neurosurgery of the Hospital Juarez de Mexico for the treatment of carotid stenosis.
Methods: We performed a descriptive, retrospective and blinded analysis of the clinical records of patients diagnosed with carotid disease between January 2007 and January 2013. The occurrence of stroke, acute myocardial infarction and mortality was analyzed at one month, 6 months, 12 months and 24 months after follow-up; also the degree of functional disability according to the Modified Rankin Scale. Arterioesclerosis carotidea, stent carotideo, terapia endovascular, angioplastia carotidea, enfermedad vascular cerebral, ictus.
Results: In all, 61 cases were analyzed, of which 20 patients met inclusion criteria for the study. The average age was 63.0 years (range: 41-83 years); 15 men and 5 women. 100% had a previous history ischemic cerebrovascular event prior to treatment. Two patients (10%) had an ischemic vascular event during follow-up; mortality at 2 years in the population was 5% (1 patient). 75% (15 patients) showed an improvement of 1 or more points in the Functional Modified Rankin scale.
Conclusions: The results shown of this series are similar to those shown on international studies with a high degree of scrutiny. Endovascular procedures for treatment of carotid stenosis are safe and show good results in symptomatic patients.

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