Carotid artery stenting: Do procedural complications relate to the side intervened upon?
Identifieur interne : 001804 ( Istex/Corpus ); précédent : 001803; suivant : 001805Carotid artery stenting: Do procedural complications relate to the side intervened upon?
Auteurs : Ralf Zahn ; Thomas Ischinger ; Matthias Hochadel ; Bernd Mark ; Uwe Zeymer ; Wolfgang Schmalz ; Alexander Schramm ; Karl Eugen Hauptmann ; Hubert Seggewi ; Ilse Janicke ; Harald Mudra ; Jochen SengesSource :
- Catheterization and Cardiovascular Interventions [ 1522-1946 ] ; 2009-07-01.
English descriptors
Abstract
Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. Methods: We analyzed data from the Carotid Artery Stent (CAS) – Registry. Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, P = 0.009). Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.
Url:
DOI: 10.1002/ccd.22050
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ISTEX:B02FEE693FC770FDD7B3ACD8544CF427D7DDC16FLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><author><name sortKey="Zahn, Ralf" sort="Zahn, Ralf" uniqKey="Zahn R" first="Ralf" last="Zahn">Ralf Zahn</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Ischinger, Thomas" sort="Ischinger, Thomas" uniqKey="Ischinger T" first="Thomas" last="Ischinger">Thomas Ischinger</name><affiliation><mods:affiliation>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</mods:affiliation></affiliation></author><author><name sortKey="Hochadel, Matthias" sort="Hochadel, Matthias" uniqKey="Hochadel M" first="Matthias" last="Hochadel">Matthias Hochadel</name><affiliation><mods:affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Mark, Bernd" sort="Mark, Bernd" uniqKey="Mark B" first="Bernd" last="Mark">Bernd Mark</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Zeymer, Uwe" sort="Zeymer, Uwe" uniqKey="Zeymer U" first="Uwe" last="Zeymer">Uwe Zeymer</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schmalz, Wolfgang" sort="Schmalz, Wolfgang" uniqKey="Schmalz W" first="Wolfgang" last="Schmalz">Wolfgang Schmalz</name><affiliation><mods:affiliation>Stadtkrankenhaus, Kardiologie, Worms</mods:affiliation></affiliation></author><author><name sortKey="Schramm, Alexander" sort="Schramm, Alexander" uniqKey="Schramm A" first="Alexander" last="Schramm">Alexander Schramm</name><affiliation><mods:affiliation>Marienhospital, Kardiologie, Osnabrück</mods:affiliation></affiliation></author><author><name sortKey="Hauptmann, Karl Eugen" sort="Hauptmann, Karl Eugen" uniqKey="Hauptmann K" first="Karl Eugen" last="Hauptmann">Karl Eugen Hauptmann</name><affiliation><mods:affiliation>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</mods:affiliation></affiliation></author><author><name sortKey="Seggewi, Hubert" sort="Seggewi, Hubert" uniqKey="Seggewi H" first="Hubert" last="Seggewi">Hubert Seggewi</name><affiliation><mods:affiliation>Klinikum Schweinfurt, Kardiologie, Schweinfurt</mods:affiliation></affiliation></author><author><name sortKey="Janicke, Ilse" sort="Janicke, Ilse" uniqKey="Janicke I" first="Ilse" last="Janicke">Ilse Janicke</name><affiliation><mods:affiliation>Herzzentrum, Kardiologie, Duisburg</mods:affiliation></affiliation></author><author><name sortKey="Mudra, Harald" sort="Mudra, Harald" uniqKey="Mudra H" first="Harald" last="Mudra">Harald Mudra</name><affiliation><mods:affiliation>Herzzentrum, Kardiologie, Duisburg</mods:affiliation></affiliation></author><author><name sortKey="Senges, Jochen" sort="Senges, Jochen" uniqKey="Senges J" first="Jochen" last="Senges">Jochen Senges</name><affiliation><mods:affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1002/ccd.22050</idno><idno type="url">https://api.istex.fr/document/B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001804</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001804</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><author><name sortKey="Zahn, Ralf" sort="Zahn, Ralf" uniqKey="Zahn R" first="Ralf" last="Zahn">Ralf Zahn</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Ischinger, Thomas" sort="Ischinger, Thomas" uniqKey="Ischinger T" first="Thomas" last="Ischinger">Thomas Ischinger</name><affiliation><mods:affiliation>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</mods:affiliation></affiliation></author><author><name sortKey="Hochadel, Matthias" sort="Hochadel, Matthias" uniqKey="Hochadel M" first="Matthias" last="Hochadel">Matthias Hochadel</name><affiliation><mods:affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Mark, Bernd" sort="Mark, Bernd" uniqKey="Mark B" first="Bernd" last="Mark">Bernd Mark</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Zeymer, Uwe" sort="Zeymer, Uwe" uniqKey="Zeymer U" first="Uwe" last="Zeymer">Uwe Zeymer</name><affiliation><mods:affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schmalz, Wolfgang" sort="Schmalz, Wolfgang" uniqKey="Schmalz W" first="Wolfgang" last="Schmalz">Wolfgang Schmalz</name><affiliation><mods:affiliation>Stadtkrankenhaus, Kardiologie, Worms</mods:affiliation></affiliation></author><author><name sortKey="Schramm, Alexander" sort="Schramm, Alexander" uniqKey="Schramm A" first="Alexander" last="Schramm">Alexander Schramm</name><affiliation><mods:affiliation>Marienhospital, Kardiologie, Osnabrück</mods:affiliation></affiliation></author><author><name sortKey="Hauptmann, Karl Eugen" sort="Hauptmann, Karl Eugen" uniqKey="Hauptmann K" first="Karl Eugen" last="Hauptmann">Karl Eugen Hauptmann</name><affiliation><mods:affiliation>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</mods:affiliation></affiliation></author><author><name sortKey="Seggewi, Hubert" sort="Seggewi, Hubert" uniqKey="Seggewi H" first="Hubert" last="Seggewi">Hubert Seggewi</name><affiliation><mods:affiliation>Klinikum Schweinfurt, Kardiologie, Schweinfurt</mods:affiliation></affiliation></author><author><name sortKey="Janicke, Ilse" sort="Janicke, Ilse" uniqKey="Janicke I" first="Ilse" last="Janicke">Ilse Janicke</name><affiliation><mods:affiliation>Herzzentrum, Kardiologie, Duisburg</mods:affiliation></affiliation></author><author><name sortKey="Mudra, Harald" sort="Mudra, Harald" uniqKey="Mudra H" first="Harald" last="Mudra">Harald Mudra</name><affiliation><mods:affiliation>Herzzentrum, Kardiologie, Duisburg</mods:affiliation></affiliation></author><author><name sortKey="Senges, Jochen" sort="Senges, Jochen" uniqKey="Senges J" first="Jochen" last="Senges">Jochen Senges</name><affiliation><mods:affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Catheterization and Cardiovascular Interventions</title><title level="j" type="abbrev">Cathet. Cardiovasc. Intervent.</title><idno type="ISSN">1522-1946</idno><idno type="eISSN">1522-726X</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-07-01">2009-07-01</date><biblScope unit="volume">74</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="8">8</biblScope></imprint><idno type="ISSN">1522-1946</idno></series><idno type="istex">B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F</idno><idno type="DOI">10.1002/ccd.22050</idno><idno type="ArticleID">CCD22050</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1522-1946</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>angioplasty</term><term>carotid artery stenosis</term><term>carotid artery stenting</term><term>intervention side</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. Methods: We analyzed data from the Carotid Artery Stent (CAS) – Registry. Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, P = 0.009). Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Ralf Zahn MD, FESC, FAHA</name><affiliations><json:string>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</json:string><json:string>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</json:string></affiliations></json:item><json:item><name>Thomas Ischinger MD, FESC, FACC</name><affiliations><json:string>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</json:string></affiliations></json:item><json:item><name>Matthias Hochadel PhD</name><affiliations><json:string>Institut für Herzinfarktforschung, Ludwigshafen, Germany</json:string></affiliations></json:item><json:item><name>Bernd Mark MD</name><affiliations><json:string>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</json:string></affiliations></json:item><json:item><name>Uwe Zeymer MD, FESC</name><affiliations><json:string>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</json:string></affiliations></json:item><json:item><name>Wolfgang Schmalz MD</name><affiliations><json:string>Stadtkrankenhaus, Kardiologie, Worms</json:string></affiliations></json:item><json:item><name>Alexander Schramm MD</name><affiliations><json:string>Marienhospital, Kardiologie, Osnabrück</json:string></affiliations></json:item><json:item><name>Karl Eugen Hauptmann MD</name><affiliations><json:string>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</json:string></affiliations></json:item><json:item><name>Hubert Seggewiß MD</name><affiliations><json:string>Klinikum Schweinfurt, Kardiologie, Schweinfurt</json:string></affiliations></json:item><json:item><name>Ilse Janicke MD</name><affiliations><json:string>Herzzentrum, Kardiologie, Duisburg</json:string></affiliations></json:item><json:item><name>Harald Mudra MD, FESC</name><affiliations><json:string>Herzzentrum, Kardiologie, Duisburg</json:string></affiliations></json:item><json:item><name>Jochen Senges MD, FACC, FESC</name><affiliations><json:string>Institut für Herzinfarktforschung, Ludwigshafen, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>carotid artery stenosis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>carotid artery stenting</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>angioplasty</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>intervention side</value></json:item></subject><articleId><json:string>CCD22050</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. Methods: We analyzed data from the Carotid Artery Stent (CAS) – Registry. Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, P = 0.009). Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.</abstract><qualityIndicators><score>7.46</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1618</abstractCharCount><pdfWordCount>4460</pdfWordCount><pdfCharCount>30584</pdfCharCount><pdfPageCount>8</pdfPageCount><abstractWordCount>260</abstractWordCount></qualityIndicators><title>Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><refBibs><json:item><author><json:item><name>GS Roubin</name></json:item><json:item><name>G New</name></json:item><json:item><name>SS Iyer</name></json:item><json:item><name>JJ Vitek</name></json:item><json:item><name>N Al Mubarak</name></json:item><json:item><name>MW Liu</name></json:item><json:item><name>J Yadav</name></json:item><json:item><name>C Gomez</name></json:item><json:item><name>RE 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Interventions</title><doi><json:string>10.1002/(ISSN)1522-726X</json:string></doi></host><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1002/ccd.22050</json:string></doi><id>B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F</id><score>0.26035395</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><title level="a" type="sub" xml:lang="en">Results From the Carotid Artery Stent (CAS)—Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Copyright © 2009 Wiley‐Liss, Inc.</p></availability><date>2009</date></publicationStmt><notesStmt><note type="content">*Conflict of interest: Drs. Zahn, Ischinger, and Mudra have received travel expenses or payment for speaking at meetings from one or more companies which produces or distributes embolic protection devices or carotid stents.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><title level="a" type="sub" xml:lang="en">Results From the Carotid Artery Stent (CAS)—Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)</title><author xml:id="author-1"><persName><forename type="first">Ralf</forename><surname>Zahn</surname></persName><roleName type="degree">MD, FESC, FAHA</roleName><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</affiliation></author><author xml:id="author-2"><persName><forename type="first">Thomas</forename><surname>Ischinger</surname></persName><roleName type="degree">MD, FESC, FACC</roleName><affiliation>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</affiliation></author><author xml:id="author-3"><persName><forename type="first">Matthias</forename><surname>Hochadel</surname></persName><roleName type="degree">PhD</roleName><affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</affiliation></author><author xml:id="author-4"><persName><forename type="first">Bernd</forename><surname>Mark</surname></persName><roleName type="degree">MD</roleName><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation></author><author xml:id="author-5"><persName><forename type="first">Uwe</forename><surname>Zeymer</surname></persName><roleName type="degree">MD, FESC</roleName><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation></author><author xml:id="author-6"><persName><forename type="first">Wolfgang</forename><surname>Schmalz</surname></persName><roleName type="degree">MD</roleName><affiliation>Stadtkrankenhaus, Kardiologie, Worms</affiliation></author><author xml:id="author-7"><persName><forename type="first">Alexander</forename><surname>Schramm</surname></persName><roleName type="degree">MD</roleName><affiliation>Marienhospital, Kardiologie, Osnabrück</affiliation></author><author xml:id="author-8"><persName><forename type="first">Karl Eugen</forename><surname>Hauptmann</surname></persName><roleName type="degree">MD</roleName><affiliation>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</affiliation></author><author xml:id="author-9"><persName><forename type="first">Hubert</forename><surname>Seggewiß</surname></persName><roleName type="degree">MD</roleName><affiliation>Klinikum Schweinfurt, Kardiologie, Schweinfurt</affiliation></author><author xml:id="author-10"><persName><forename type="first">Ilse</forename><surname>Janicke</surname></persName><roleName type="degree">MD</roleName><affiliation>Herzzentrum, Kardiologie, Duisburg</affiliation></author><author xml:id="author-11"><persName><forename type="first">Harald</forename><surname>Mudra</surname></persName><roleName type="degree">MD, FESC</roleName><affiliation>Herzzentrum, Kardiologie, Duisburg</affiliation></author><author xml:id="author-12"><persName><forename type="first">Jochen</forename><surname>Senges</surname></persName><roleName type="degree">MD, FACC, FESC</roleName><affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</affiliation></author></analytic><monogr><title level="j">Catheterization and Cardiovascular Interventions</title><title level="j" type="abbrev">Cathet. Cardiovasc. Intervent.</title><idno type="pISSN">1522-1946</idno><idno type="eISSN">1522-726X</idno><idno type="DOI">10.1002/(ISSN)1522-726X</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-07-01"></date><biblScope unit="volume">74</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="8">8</biblScope></imprint></monogr><idno type="istex">B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F</idno><idno type="DOI">10.1002/ccd.22050</idno><idno type="ArticleID">CCD22050</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. Methods: We analyzed data from the Carotid Artery Stent (CAS) – Registry. Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, P = 0.009). Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>carotid artery stenosis</term></item><item><term>carotid artery stenting</term></item><item><term>angioplasty</term></item><item><term>intervention side</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Peripheral Vascular Disease</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2008-10-12">Received</change><change when="2008-10-29">Registration</change><change when="2009-07-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1522-726X</doi><issn type="print">1522-1946</issn><issn type="electronic">1522-726X</issn><idGroup><id type="product" value="CCD"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS">Catheterization and Cardiovascular Interventions</title><title type="short">Cathet. Cardiovasc. Intervent.</title></titleGroup><selfCitationGroup><citation type="ancestor" xml:id="cit1"><journalTitle>Catheterization and Cardiovascular Diagnosis</journalTitle><accessionId ref="info:x-wiley/issn/00986569">0098-6569</accessionId><accessionId ref="info:x-wiley/issn/10970304">1097-0304</accessionId><pubYear year="1998">1998</pubYear><vol>45</vol><issue>4</issue></citation></selfCitationGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley" registered="yes">10.1002/ccd.v74:1</doi><numberingGroup><numbering type="journalVolume" number="74">74</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2009-07-01">1 July 2009</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="10" status="forIssue"><doi origin="wiley" registered="yes">10.1002/ccd.22050</doi><idGroup><id type="unit" value="CCD22050"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="articleCategory">Peripheral Vascular Disease</title><title type="tocHeading1">Peripheral Vascular Disease</title><title type="tocHeading2">Original Studies</title></titleGroup><copyright ownership="publisher">Copyright © 2009 Wiley‐Liss, Inc.</copyright><eventGroup><event type="manuscriptReceived" date="2008-10-12"></event><event type="manuscriptAccepted" date="2008-10-29"></event><event type="firstOnline" date="2009-03-09"></event><event type="publishedOnlineFinalForm" date="2009-06-15"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2009-03-09"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.27 mode:FullText source:FullText result:FullText" date="2010-11-22"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-09"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-15"></event></eventGroup><numberingGroup><numbering type="pageFirst">1</numbering><numbering type="pageLast">8</numbering></numberingGroup><correspondenceTo>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CCD.CCD22050.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="4"></count><count type="referenceTotal" number="30"></count><count type="wordTotal" number="6390"></count></countGroup><titleGroup><title type="main" xml:lang="en">Carotid artery stenting: Do procedural complications relate to the side intervened upon?<link href="#fn6"></link></title><title type="subtitle">Results From the Carotid Artery Stent (CAS)—Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)</title><title type="short" xml:lang="en">CAS: Influence of the Side Intervened Upon</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Ralf</givenNames><familyName>Zahn</familyName><degrees>MD, FESC, FAHA</degrees></personName><contactDetails><email>erzahn@aol.com</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Thomas</givenNames><familyName>Ischinger</familyName><degrees>MD, FESC, FACC</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Matthias</givenNames><familyName>Hochadel</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Bernd</givenNames><familyName>Mark</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Uwe</givenNames><familyName>Zeymer</familyName><degrees>MD, FESC</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Wolfgang</givenNames><familyName>Schmalz</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Alexander</givenNames><familyName>Schramm</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af6"><personName><givenNames>Karl Eugen</givenNames><familyName>Hauptmann</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af7"><personName><givenNames>Hubert</givenNames><familyName>Seggewiß</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au10" creatorRole="author" affiliationRef="#af8"><personName><givenNames>Ilse</givenNames><familyName>Janicke</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au11" creatorRole="author" affiliationRef="#af8"><personName><givenNames>Harald</givenNames><familyName>Mudra</familyName><degrees>MD, FESC</degrees></personName></creator><creator xml:id="au12" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Jochen</givenNames><familyName>Senges</familyName><degrees>MD, FACC, FESC</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="DE" type="organization"><unparsedAffiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="DE" type="organization"><unparsedAffiliation>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="DE" type="organization"><unparsedAffiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="DE" type="organization"><unparsedAffiliation>Stadtkrankenhaus, Kardiologie, Worms</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="DE" type="organization"><unparsedAffiliation>Marienhospital, Kardiologie, Osnabrück</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="DE" type="organization"><unparsedAffiliation>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</unparsedAffiliation></affiliation><affiliation xml:id="af7" countryCode="DE" type="organization"><unparsedAffiliation>Klinikum Schweinfurt, Kardiologie, Schweinfurt</unparsedAffiliation></affiliation><affiliation xml:id="af8" countryCode="DE" type="organization"><unparsedAffiliation>Herzzentrum, Kardiologie, Duisburg</unparsedAffiliation></affiliation><affiliation xml:id="af9" countryCode="DE" type="organization"><unparsedAffiliation>Städtisches Klinikum, München – Neu‐Perlach</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">carotid artery stenosis</keyword><keyword xml:id="kwd2">carotid artery stenting</keyword><keyword xml:id="kwd3">angioplasty</keyword><keyword xml:id="kwd4">intervention side</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><span cssStyle="text-decoration:underline">Objectives</span>: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). <span cssStyle="text-decoration:underline">Background</span>: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. <span cssStyle="text-decoration:underline">Methods</span>: We analyzed data from the <i>Carotid Artery Stent (CAS) – Registry.</i><span cssStyle="text-decoration:underline">Results</span>: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, <i>P</i> = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, <i>P</i> = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, <i>P</i> = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, <i>P</i> = 0.005), ipsilateral stroke (3.1% versus 1.8%, <i>P</i> = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, <i>P</i> = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, <i>P</i> = 0.009). <span cssStyle="text-decoration:underline">Conclusions</span>: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn6"><p>Conflict of interest: Drs. Zahn, Ischinger, and Mudra have received travel expenses or payment for speaking at meetings from one or more companies which produces or distributes embolic protection devices or carotid stents.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title><subTitle>Results From the Carotid Artery Stent (CAS)—Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)</subTitle></titleInfo><titleInfo type="abbreviated" lang="en"><title>CAS: Influence of the Side Intervened Upon</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Carotid artery stenting: Do procedural complications relate to the side intervened upon?</title></titleInfo><name type="personal"><namePart type="given">Ralf</namePart><namePart type="family">Zahn</namePart><namePart type="termsOfAddress">MD, FESC, FAHA</namePart><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thomas</namePart><namePart type="family">Ischinger</namePart><namePart type="termsOfAddress">MD, FESC, FACC</namePart><affiliation>Städtisches Klinikum, Kardiologie, München‐Bogenhausen</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Matthias</namePart><namePart type="family">Hochadel</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bernd</namePart><namePart type="family">Mark</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Uwe</namePart><namePart type="family">Zeymer</namePart><namePart type="termsOfAddress">MD, FESC</namePart><affiliation>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wolfgang</namePart><namePart type="family">Schmalz</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Stadtkrankenhaus, Kardiologie, Worms</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alexander</namePart><namePart type="family">Schramm</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Marienhospital, Kardiologie, Osnabrück</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Karl Eugen</namePart><namePart type="family">Hauptmann</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Krankenhaus der Barmherzigen Brüder, Kardiologie, Trier</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hubert</namePart><namePart type="family">Seggewiß</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Klinikum Schweinfurt, Kardiologie, Schweinfurt</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ilse</namePart><namePart type="family">Janicke</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Herzzentrum, Kardiologie, Duisburg</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Harald</namePart><namePart type="family">Mudra</namePart><namePart type="termsOfAddress">MD, FESC</namePart><affiliation>Herzzentrum, Kardiologie, Duisburg</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jochen</namePart><namePart type="family">Senges</namePart><namePart type="termsOfAddress">MD, FACC, FESC</namePart><affiliation>Institut für Herzinfarktforschung, Ludwigshafen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2009-07-01</dateIssued><dateCaptured encoding="w3cdtf">2008-10-12</dateCaptured><dateValid encoding="w3cdtf">2008-10-29</dateValid><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">4</extent><extent unit="references">30</extent><extent unit="words">6390</extent></physicalDescription><abstract lang="en">Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS). Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet. Methods: We analyzed data from the Carotid Artery Stent (CAS) – Registry. Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 ± 24.3 versus 43.8 ± 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in‐hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15–2.72, P = 0.009). Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in‐hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation. © 2009 Wiley‐Liss, Inc.</abstract><note type="content">*Conflict of interest: Drs. Zahn, Ischinger, and Mudra have received travel expenses or payment for speaking at meetings from one or more companies which produces or distributes embolic protection devices or carotid stents.</note><subject lang="en"><genre>keywords</genre><topic>carotid artery stenosis</topic><topic>carotid artery stenting</topic><topic>angioplasty</topic><topic>intervention side</topic></subject><relatedItem type="host"><titleInfo><title>Catheterization and Cardiovascular Interventions</title></titleInfo><titleInfo type="abbreviated"><title>Cathet. Cardiovasc. Intervent.</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Peripheral Vascular Disease</topic></subject><identifier type="ISSN">1522-1946</identifier><identifier type="eISSN">1522-726X</identifier><identifier type="DOI">10.1002/(ISSN)1522-726X</identifier><identifier type="PublisherID">CCD</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>74</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>1</start><end>8</end><total>8</total></extent></part></relatedItem><relatedItem type="preceding"><titleInfo><title>Catheterization and Cardiovascular Diagnosis</title></titleInfo><identifier type="ISSN">0098-6569</identifier><identifier type="ISSN">1097-0304</identifier><part><date point="end">1998</date><detail type="volume"><caption>last vol.</caption><number>45</number></detail><detail type="issue"><caption>last no.</caption><number>4</number></detail></part></relatedItem><identifier type="istex">B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F</identifier><identifier type="DOI">10.1002/ccd.22050</identifier><identifier type="ArticleID">CCD22050</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Wiley‐Liss, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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