71222 20220617151026.0 doi 10.1186/s42155-018-0008-2 sideral 106804 ART-2018-106804 eng Mayoral Campos, Victoria Carotid artery stenting in a single center, single operator, single type of device and 15 years of follow-up 2018 Access copy available to the general public Unrestricted Background: Revascularization with carotid stent (CAS) is considered the therapeutic alternative to endarterectomy (CEA). However, its role compared to CEA remains questioned, mainly due of the heterogeneity of long-term results. The objective of this study was to report the efficacy and durability of CAS in terms of stroke prevention in a “real world experience”. Method: This was a single-center retrospective analysis of 344 patients treated with CAS between January 2001 and December 2015. The primary outcome of the trial was stroke, myocardial infarction, or death during a periprocedural period or any stroke event over a 15-year follow-up. The secondary aim was to identify risk factors for 30-day complications, long-term neurological complications, and intra-stent restenosis. Results: The primary composite end point (any stroke, myocardial infarction, or death during the periprocedural period) was 2.3%. The use of an EPD was protective against major complications. Long-term follow-up was achieved in 294 patients (85,5%) with a median of 50 months (range 0-155 months). Fifty-six (16,3%) died within this period, most commonly of nonvascular causes (4 patients had stroke-related deaths). During the follow-up period, 8 strokes and 3 TIAs were diagnosed (3.2%). ISR determined by sequential ultrasound was assessed in 4.4% of the patients and remained asymptomatic in all but 2 patients (0.6%). All patients with restenosis underwent revascularization with balloon angioplasty. Conclusion: The long-term follow-up results of our study validate CAS as a safe and durable procedure with which to prevent ipsilateral stroke, with an acceptable rate of restenosis, recurrence and mortality. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Guirola Órtiz, José Andrés (orcid)0000-0002-0113-5121 Tejero Juste, Carlos Gimeno Peribáñez, María José Universidad de Zaragoza (orcid)0000-0002-0249-4687 Serrano, Carolina Universidad de Zaragoza (orcid)0000-0002-8880-6580 Pérez Lázaro, Cristina Universidad de Zaragoza de Blas Giral, Ignacio Universidad de Zaragoza (orcid)0000-0002-1204-4356 de Gregorio Ariza, Miguel Ángel Universidad de Zaragoza (orcid)0000-0002-5618-7519 1010 770 Universidad de Zaragoza Dpto. Pediatría Radiol.Med.Fís Área Radiol. y Medicina Física 1009 773 Universidad de Zaragoza Dpto. Patología Animal Área Sanidad Animal 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 1009 617 Universidad de Zaragoza Dpto. Patología Animal Área Medicina y Cirugía Animal 1, 3 (2018), [8 pp.] CVIR Endovasc. CVIR endovascular 2520-8934 641757 http://zaguan.unizar.es/record/71222/files/texto_completo.pdf Versión publicada 98054 http://zaguan.unizar.es/record/71222/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:71222 articulos driver 2022-06-17-15:01:48 ARTICLE