Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience

Mohammed Alsagheer Alhewy; Mahmoud Galal; Abdelaziz Ahmed Abdelhafez

doi:doi:10.11648/j.ccr.20220602.14

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Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience

Mohammed Alsagheer Alhewy, Mahmoud Galal, Abdelaziz Ahmed Abdelhafez

Published in Cardiology and Cardiovascular Research (Volume 6, Issue 2)

Received: 2 May 2022 Accepted: 20 May 2022 Published: 26 May 2022

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Abstract

Background: Internal carotid artery atherosclerotic stenosis is a common cause of transient ischemic attacks (TIAs) and ischemic strokes. The advance of percutaneous, endovascular therapies for vascular disease has been unremitting. Over the last several decades, but recently Endovascular management and stenting is considered one of the lines of treatment for carotid artery stenosis. Objectives: To report the outcome and follow up of internal carotid artery stenting. Patients and methods: 131 internal carotid artery stenting procedures were done for 131 patients with significant internal carotid artery stenosis at multiple centres, including neurovascular intervention units at Al-Azhar university hospitals (Al-Hussein and Assiut), Mostafa Mahmoud, and Kobbri Elkobba hospitals, Egypt, from February 2019 to March 2021, Patients were followed for 12 months after stenting. Results: Early post-interventional complications included stroke (3.8%), TIA (6.1%), transient bradycardia (3.8%) and local groin hematoma (2.3%). One month later, no new neurological deficits developed and carotid artery duplex showed no restenosis. At the end of follow-up, three patients developed stroke and three patients died (one from acute myocardial infarction and two patients died without known aetiology). The carotid artery duplex showed no cases of restenosis. Conclusion: Carotid artery stenting is a safe, feasible, and efficacious procedure with a low periprocedural risk of stroke or death. Furthermore, the risk of future stroke and rate of significant restenosis during mid-term follow-up appears to be low and carotid stenting can be considered an alternative to carotid endarterectomy, especially in high-risk patients.

Published in	Cardiology and Cardiovascular Research (Volume 6, Issue 2)
DOI	10.11648/j.ccr.20220602.14
Page(s)	75-80
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Atherosclerosis, Endovascular Stenting, Stroke, TIAs

References

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APA Style

Mohammed Alsagheer Alhewy, Mahmoud Galal, Abdelaziz Ahmed Abdelhafez. (2022). Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiology and Cardiovascular Research, 6(2), 75-80. https://doi.org/10.11648/j.ccr.20220602.14

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ACS Style

Mohammed Alsagheer Alhewy; Mahmoud Galal; Abdelaziz Ahmed Abdelhafez. Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiol. Cardiovasc. Res. 2022, 6(2), 75-80. doi: 10.11648/j.ccr.20220602.14

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AMA Style

Mohammed Alsagheer Alhewy, Mahmoud Galal, Abdelaziz Ahmed Abdelhafez. Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiol Cardiovasc Res. 2022;6(2):75-80. doi: 10.11648/j.ccr.20220602.14

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@article{10.11648/j.ccr.20220602.14,
  author = {Mohammed Alsagheer Alhewy and Mahmoud Galal and Abdelaziz Ahmed Abdelhafez},
  title = {Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience},
  journal = {Cardiology and Cardiovascular Research},
  volume = {6},
  number = {2},
  pages = {75-80},
  doi = {10.11648/j.ccr.20220602.14},
  url = {https://doi.org/10.11648/j.ccr.20220602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20220602.14},
  abstract = {Background: Internal carotid artery atherosclerotic stenosis is a common cause of transient ischemic attacks (TIAs) and ischemic strokes. The advance of percutaneous, endovascular therapies for vascular disease has been unremitting. Over the last several decades, but recently Endovascular management and stenting is considered one of the lines of treatment for carotid artery stenosis. Objectives: To report the outcome and follow up of internal carotid artery stenting. Patients and methods: 131 internal carotid artery stenting procedures were done for 131 patients with significant internal carotid artery stenosis at multiple centres, including neurovascular intervention units at Al-Azhar university hospitals (Al-Hussein and Assiut), Mostafa Mahmoud, and Kobbri Elkobba hospitals, Egypt, from February 2019 to March 2021, Patients were followed for 12 months after stenting. Results: Early post-interventional complications included stroke (3.8%), TIA (6.1%), transient bradycardia (3.8%) and local groin hematoma (2.3%). One month later, no new neurological deficits developed and carotid artery duplex showed no restenosis. At the end of follow-up, three patients developed stroke and three patients died (one from acute myocardial infarction and two patients died without known aetiology). The carotid artery duplex showed no cases of restenosis. Conclusion: Carotid artery stenting is a safe, feasible, and efficacious procedure with a low periprocedural risk of stroke or death. Furthermore, the risk of future stroke and rate of significant restenosis during mid-term follow-up appears to be low and carotid stenting can be considered an alternative to carotid endarterectomy, especially in high-risk patients.},
 year = {2022}
}

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TY  - JOUR
T1  - Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience
AU  - Mohammed Alsagheer Alhewy
AU  - Mahmoud Galal
AU  - Abdelaziz Ahmed Abdelhafez
Y1  - 2022/05/26
PY  - 2022
N1  - https://doi.org/10.11648/j.ccr.20220602.14
DO  - 10.11648/j.ccr.20220602.14
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 75
EP  - 80
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20220602.14
AB  - Background: Internal carotid artery atherosclerotic stenosis is a common cause of transient ischemic attacks (TIAs) and ischemic strokes. The advance of percutaneous, endovascular therapies for vascular disease has been unremitting. Over the last several decades, but recently Endovascular management and stenting is considered one of the lines of treatment for carotid artery stenosis. Objectives: To report the outcome and follow up of internal carotid artery stenting. Patients and methods: 131 internal carotid artery stenting procedures were done for 131 patients with significant internal carotid artery stenosis at multiple centres, including neurovascular intervention units at Al-Azhar university hospitals (Al-Hussein and Assiut), Mostafa Mahmoud, and Kobbri Elkobba hospitals, Egypt, from February 2019 to March 2021, Patients were followed for 12 months after stenting. Results: Early post-interventional complications included stroke (3.8%), TIA (6.1%), transient bradycardia (3.8%) and local groin hematoma (2.3%). One month later, no new neurological deficits developed and carotid artery duplex showed no restenosis. At the end of follow-up, three patients developed stroke and three patients died (one from acute myocardial infarction and two patients died without known aetiology). The carotid artery duplex showed no cases of restenosis. Conclusion: Carotid artery stenting is a safe, feasible, and efficacious procedure with a low periprocedural risk of stroke or death. Furthermore, the risk of future stroke and rate of significant restenosis during mid-term follow-up appears to be low and carotid stenting can be considered an alternative to carotid endarterectomy, especially in high-risk patients.
VL  - 6
IS  - 2
ER  -

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Author Information

Mohammed Alsagheer Alhewy

Vascular and Endovascular Surgery Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt
Mahmoud Galal

Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abdelaziz Ahmed Abdelhafez

Vascular and Endovascular Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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APA Style

Mohammed Alsagheer Alhewy, Mahmoud Galal, Abdelaziz Ahmed Abdelhafez. (2022). Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiology and Cardiovascular Research, 6(2), 75-80. https://doi.org/10.11648/j.ccr.20220602.14

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ACS Style

Mohammed Alsagheer Alhewy; Mahmoud Galal; Abdelaziz Ahmed Abdelhafez. Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiol. Cardiovasc. Res. 2022, 6(2), 75-80. doi: 10.11648/j.ccr.20220602.14

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AMA Style

Mohammed Alsagheer Alhewy, Mahmoud Galal, Abdelaziz Ahmed Abdelhafez. Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience. Cardiol Cardiovasc Res. 2022;6(2):75-80. doi: 10.11648/j.ccr.20220602.14

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@article{10.11648/j.ccr.20220602.14,
  author = {Mohammed Alsagheer Alhewy and Mahmoud Galal and Abdelaziz Ahmed Abdelhafez},
  title = {Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience},
  journal = {Cardiology and Cardiovascular Research},
  volume = {6},
  number = {2},
  pages = {75-80},
  doi = {10.11648/j.ccr.20220602.14},
  url = {https://doi.org/10.11648/j.ccr.20220602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20220602.14},
  abstract = {Background: Internal carotid artery atherosclerotic stenosis is a common cause of transient ischemic attacks (TIAs) and ischemic strokes. The advance of percutaneous, endovascular therapies for vascular disease has been unremitting. Over the last several decades, but recently Endovascular management and stenting is considered one of the lines of treatment for carotid artery stenosis. Objectives: To report the outcome and follow up of internal carotid artery stenting. Patients and methods: 131 internal carotid artery stenting procedures were done for 131 patients with significant internal carotid artery stenosis at multiple centres, including neurovascular intervention units at Al-Azhar university hospitals (Al-Hussein and Assiut), Mostafa Mahmoud, and Kobbri Elkobba hospitals, Egypt, from February 2019 to March 2021, Patients were followed for 12 months after stenting. Results: Early post-interventional complications included stroke (3.8%), TIA (6.1%), transient bradycardia (3.8%) and local groin hematoma (2.3%). One month later, no new neurological deficits developed and carotid artery duplex showed no restenosis. At the end of follow-up, three patients developed stroke and three patients died (one from acute myocardial infarction and two patients died without known aetiology). The carotid artery duplex showed no cases of restenosis. Conclusion: Carotid artery stenting is a safe, feasible, and efficacious procedure with a low periprocedural risk of stroke or death. Furthermore, the risk of future stroke and rate of significant restenosis during mid-term follow-up appears to be low and carotid stenting can be considered an alternative to carotid endarterectomy, especially in high-risk patients.},
 year = {2022}
}

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TY  - JOUR
T1  - Feasibility and Outcome of Endovascular Management of Carotid Artery Stenosis, Egyptian Multicentric Experience
AU  - Mohammed Alsagheer Alhewy
AU  - Mahmoud Galal
AU  - Abdelaziz Ahmed Abdelhafez
Y1  - 2022/05/26
PY  - 2022
N1  - https://doi.org/10.11648/j.ccr.20220602.14
DO  - 10.11648/j.ccr.20220602.14
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 75
EP  - 80
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20220602.14
AB  - Background: Internal carotid artery atherosclerotic stenosis is a common cause of transient ischemic attacks (TIAs) and ischemic strokes. The advance of percutaneous, endovascular therapies for vascular disease has been unremitting. Over the last several decades, but recently Endovascular management and stenting is considered one of the lines of treatment for carotid artery stenosis. Objectives: To report the outcome and follow up of internal carotid artery stenting. Patients and methods: 131 internal carotid artery stenting procedures were done for 131 patients with significant internal carotid artery stenosis at multiple centres, including neurovascular intervention units at Al-Azhar university hospitals (Al-Hussein and Assiut), Mostafa Mahmoud, and Kobbri Elkobba hospitals, Egypt, from February 2019 to March 2021, Patients were followed for 12 months after stenting. Results: Early post-interventional complications included stroke (3.8%), TIA (6.1%), transient bradycardia (3.8%) and local groin hematoma (2.3%). One month later, no new neurological deficits developed and carotid artery duplex showed no restenosis. At the end of follow-up, three patients developed stroke and three patients died (one from acute myocardial infarction and two patients died without known aetiology). The carotid artery duplex showed no cases of restenosis. Conclusion: Carotid artery stenting is a safe, feasible, and efficacious procedure with a low periprocedural risk of stroke or death. Furthermore, the risk of future stroke and rate of significant restenosis during mid-term follow-up appears to be low and carotid stenting can be considered an alternative to carotid endarterectomy, especially in high-risk patients.
VL  - 6
IS  - 2
ER  -

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