Carotid artery stenting: Do procedural complications relate to the side intervened upon?
Identifieur interne : 000F00 ( Main/Exploration ); précédent : 000E99; suivant : 000F01Carotid artery stenting: Do procedural complications relate to the side intervened upon?
Auteurs : Ralf Zahn [Allemagne] ; Thomas Ischinger ; Matthias Hochadel [Allemagne] ; Bernd Mark [Allemagne] ; Uwe Zeymer [Allemagne] ; Wolfgang Schmalz ; Alexander Schramm ; Karl Eugen Hauptmann ; Hubert Seggewi ; Ilse Janicke ; Harald Mudra ; Jochen Senges [Allemagne]Source :
- 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
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 001804
- to stream Istex, to step Curation: 001688
- to stream Istex, to step Checkpoint: 000447
- to stream Main, to step Merge: 000F74
- to stream Main, to step Curation: 000F00
Le 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></author><author><name sortKey="Ischinger, Thomas" sort="Ischinger, Thomas" uniqKey="Ischinger T" first="Thomas" last="Ischinger">Thomas Ischinger</name></author><author><name sortKey="Hochadel, Matthias" sort="Hochadel, Matthias" uniqKey="Hochadel M" first="Matthias" last="Hochadel">Matthias Hochadel</name></author><author><name sortKey="Mark, Bernd" sort="Mark, Bernd" uniqKey="Mark B" first="Bernd" last="Mark">Bernd Mark</name></author><author><name sortKey="Zeymer, Uwe" sort="Zeymer, Uwe" uniqKey="Zeymer U" first="Uwe" last="Zeymer">Uwe Zeymer</name></author><author><name sortKey="Schmalz, Wolfgang" sort="Schmalz, Wolfgang" uniqKey="Schmalz W" first="Wolfgang" last="Schmalz">Wolfgang Schmalz</name></author><author><name sortKey="Schramm, Alexander" sort="Schramm, Alexander" uniqKey="Schramm A" first="Alexander" last="Schramm">Alexander Schramm</name></author><author><name sortKey="Hauptmann, Karl Eugen" sort="Hauptmann, Karl Eugen" uniqKey="Hauptmann K" first="Karl Eugen" last="Hauptmann">Karl Eugen Hauptmann</name></author><author><name sortKey="Seggewi, Hubert" sort="Seggewi, Hubert" uniqKey="Seggewi H" first="Hubert" last="Seggewi">Hubert Seggewi</name></author><author><name sortKey="Janicke, Ilse" sort="Janicke, Ilse" uniqKey="Janicke I" first="Ilse" last="Janicke">Ilse Janicke</name></author><author><name sortKey="Mudra, Harald" sort="Mudra, Harald" uniqKey="Mudra H" first="Harald" last="Mudra">Harald Mudra</name></author><author><name sortKey="Senges, Jochen" sort="Senges, Jochen" uniqKey="Senges J" first="Jochen" last="Senges">Jochen Senges</name></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><idno type="wicri:Area/Istex/Curation">001688</idno><idno type="wicri:Area/Istex/Checkpoint">000447</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000447</idno><idno type="wicri:doubleKey">1522-1946:2009:Zahn R:carotid:artery:stenting</idno><idno type="wicri:Area/Main/Merge">000F74</idno><idno type="wicri:Area/Main/Curation">000F00</idno><idno type="wicri:Area/Main/Exploration">000F00</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 wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen</wicri:regionArea><wicri:noRegion>Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Herzzentrum Ludwigshafen, Kardiologie, Bremserstraße 79, D – 67063 Ludwigshafen</wicri:regionArea><wicri:noRegion>67063 Ludwigshafen</wicri:noRegion><wicri:noRegion>D – 67063 Ludwigshafen</wicri:noRegion></affiliation></author><author><name sortKey="Ischinger, Thomas" sort="Ischinger, Thomas" uniqKey="Ischinger T" first="Thomas" last="Ischinger">Thomas Ischinger</name><affiliation><wicri:noCountry code="subField">München‐Bogenhausen</wicri:noCountry></affiliation></author><author><name sortKey="Hochadel, Matthias" sort="Hochadel, Matthias" uniqKey="Hochadel M" first="Matthias" last="Hochadel">Matthias Hochadel</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institut für Herzinfarktforschung, Ludwigshafen</wicri:regionArea><wicri:noRegion>Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></affiliation></author><author><name sortKey="Mark, Bernd" sort="Mark, Bernd" uniqKey="Mark B" first="Bernd" last="Mark">Bernd Mark</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen</wicri:regionArea><wicri:noRegion>Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></affiliation></author><author><name sortKey="Zeymer, Uwe" sort="Zeymer, Uwe" uniqKey="Zeymer U" first="Uwe" last="Zeymer">Uwe Zeymer</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Herzzentrum Ludwigshafen, Kardiologie, Ludwigshafen</wicri:regionArea><wicri:noRegion>Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></affiliation></author><author><name sortKey="Schmalz, Wolfgang" sort="Schmalz, Wolfgang" uniqKey="Schmalz W" first="Wolfgang" last="Schmalz">Wolfgang Schmalz</name><affiliation><wicri:noCountry code="subField">Worms</wicri:noCountry></affiliation></author><author><name sortKey="Schramm, Alexander" sort="Schramm, Alexander" uniqKey="Schramm A" first="Alexander" last="Schramm">Alexander Schramm</name><affiliation><wicri:noCountry code="subField">Osnabrück</wicri:noCountry></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><wicri:noCountry code="subField">Trier</wicri:noCountry></affiliation></author><author><name sortKey="Seggewi, Hubert" sort="Seggewi, Hubert" uniqKey="Seggewi H" first="Hubert" last="Seggewi">Hubert Seggewi</name><affiliation><wicri:noCountry code="subField">Schweinfurt</wicri:noCountry></affiliation></author><author><name sortKey="Janicke, Ilse" sort="Janicke, Ilse" uniqKey="Janicke I" first="Ilse" last="Janicke">Ilse Janicke</name><affiliation><wicri:noCountry code="subField">Duisburg</wicri:noCountry></affiliation></author><author><name sortKey="Mudra, Harald" sort="Mudra, Harald" uniqKey="Mudra H" first="Harald" last="Mudra">Harald Mudra</name><affiliation><wicri:noCountry code="subField">Duisburg</wicri:noCountry></affiliation></author><author><name sortKey="Senges, Jochen" sort="Senges, Jochen" uniqKey="Senges J" first="Jochen" last="Senges">Jochen Senges</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institut für Herzinfarktforschung, Ludwigshafen</wicri:regionArea><wicri:noRegion>Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></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><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Hauptmann, Karl Eugen" sort="Hauptmann, Karl Eugen" uniqKey="Hauptmann K" first="Karl Eugen" last="Hauptmann">Karl Eugen Hauptmann</name><name sortKey="Ischinger, Thomas" sort="Ischinger, Thomas" uniqKey="Ischinger T" first="Thomas" last="Ischinger">Thomas Ischinger</name><name sortKey="Janicke, Ilse" sort="Janicke, Ilse" uniqKey="Janicke I" first="Ilse" last="Janicke">Ilse Janicke</name><name sortKey="Mudra, Harald" sort="Mudra, Harald" uniqKey="Mudra H" first="Harald" last="Mudra">Harald Mudra</name><name sortKey="Schmalz, Wolfgang" sort="Schmalz, Wolfgang" uniqKey="Schmalz W" first="Wolfgang" last="Schmalz">Wolfgang Schmalz</name><name sortKey="Schramm, Alexander" sort="Schramm, Alexander" uniqKey="Schramm A" first="Alexander" last="Schramm">Alexander Schramm</name><name sortKey="Seggewi, Hubert" sort="Seggewi, Hubert" uniqKey="Seggewi H" first="Hubert" last="Seggewi">Hubert Seggewi</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Zahn, Ralf" sort="Zahn, Ralf" uniqKey="Zahn R" first="Ralf" last="Zahn">Ralf Zahn</name></noRegion><name sortKey="Hochadel, Matthias" sort="Hochadel, Matthias" uniqKey="Hochadel M" first="Matthias" last="Hochadel">Matthias Hochadel</name><name sortKey="Mark, Bernd" sort="Mark, Bernd" uniqKey="Mark B" first="Bernd" last="Mark">Bernd Mark</name><name sortKey="Senges, Jochen" sort="Senges, Jochen" uniqKey="Senges J" first="Jochen" last="Senges">Jochen Senges</name><name sortKey="Zahn, Ralf" sort="Zahn, Ralf" uniqKey="Zahn R" first="Ralf" last="Zahn">Ralf Zahn</name><name sortKey="Zeymer, Uwe" sort="Zeymer, Uwe" uniqKey="Zeymer U" first="Uwe" last="Zeymer">Uwe Zeymer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Rhénanie/explor/UnivTrevesV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000F00 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000F00 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Rhénanie
|area= UnivTrevesV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:B02FEE693FC770FDD7B3ACD8544CF427D7DDC16F
|texte= Carotid artery stenting: Do procedural complications relate to the side intervened upon?
}}
| This area was generated with Dilib version V0.6.31. |  |