BACKGROUND: Percutaneous transluminal angioplasty (PTA) and stenting seems to be, at present, the treatment of choice for early restenosis after endarterectomy and for @entity731 stenoses of supra-aortic trunks near or at the ostium. In contrast, the role of PTA and stenting for treatment of symptomatic and asymptomatic @entity731 of carotid bifurcation is still debated. METHODS: The present study comprises 27 consecutive cases of @entity731 of the carotid bifurcation treated with @entity865 and stenting. All @entity1 were symptomatic, except for 2 suffering from asymptomatic @entity850 with contralateral @entity432 . There were 23 stenoses occluding 70% or more of the lumen according to the NASCET criteria and 4 mild stenoses (50-60% of the lumen) with large type C ulcers. Criteria for exclusion from surgery in these cases were aged >79 years, previous neck surgery for @entity5 , carotid bifurcation at C2, association with @entity438 , occlusion of the contralateral carotid artery, and @entity299 . All procedures were performed under local anaesthesia associated with mild sedation in a few cases. In all cases, self-expandable stents (Wallstent) were used. Follow-up ranged from 6 to 37 months. FINDINGS: Transient @entity51 occurred in 3 cases (11%). One case (3.7%) experienced a minor @entity64 at three months. Asymptomatic tight restenosis due to intimal @entity1373 occurred in one case (3.7%). In 8 cases (40%) of complex @entity850 involving common and internal carotid arteries there was some loss of contact of the stent with the wall of the common carotid artery in the late follow-up. One case (3.7%) experienced severe and prolonged @entity551 and @entity1168 during the release of the stent. INTERPRETATION: From literature data and our results it emerges that periprocedural @entity887 is unlikely to occur. The best results are undoubtedly obtained when treating @entity850 limited to the internal carotid artery. Nevertheless, the ideal stent to treat vessels of different calibre, as occurs at the carotid bifurcation, is not yet available. The problem of periprocedural cerebral protection has not been resolved. Reported series are heterogeneous and retrospective, and an adequate follow-up of cases is still lacking.

Stenting of XXXX stenoses of the extracranial carotid artery.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity5 :: ('MESH:D009369', 'Disease') :: ['laryngeal cancer'] @entity1373 :: ('MESH:D006965', 'Disease') :: ['hyperplasia'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficit'] @entity887 :: ('MESH:D004617', 'Disease') :: ['catastrophic embolism'] @entity865 :: ('CHEBI:61432', 'Chemical') :: ['PTA'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart, lung and kidney diseases'] @entity432 :: ('MESH:D001157', 'Disease') :: ['carotid occlusion'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerotic stenosis', 'atherosclerotic', 'atherosclerotic lesions'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia'] @entity438 :: ('MESH:D002532', 'Disease') :: ['intracranial aneurysms']
@entity731 :: (MESH:D050197,Disease) :: ['atherosclerotic']
