Extracranial Internal Carotid Stenting in Phramongkutklao Hospital

CHUMPOL PIAMSOMBOON, M.D.*, CHANWIT RONGSRITHONG, M.D.*, PRASAD LAOTHA VORN, M.D.*, SAMART NIDHINANDANA, M.D.**, BOONSERT CHATLAONG, M.D.***, SOPON SAGUANWONG, M.D.*, CHANARONG NASA WADI, M.D.*, PRA VIT T ANPRASERT, M.D.*, UNCHALEE INTA Y AKORN, B.Sc. *, SUPA TRA CHIV ANGKABUTR, B.Sn. *

Affiliation : * Cardiovascular Division, ** Neurological Division, Department of Medicine, Phramongkutklao College of Medicine, Bangkok 10400, *** Heart Institute, Saint Louis Hospital, Bangkok 10120, Thailand.

AbstractBackground : Carotid artery occlusive disease is estimated to be the primary cause in 20- 30 per cent of all strokes. This report was to demonstrate the safety and efficacy of the treatment of extracranial stenosis by carotid artery stenting.
Method : From June 1995 to December 2001, there were 13 patients with internal carotid stenosis ~60 per cent who were eligible for carotid stenting.
Results : Twelve patients were male. The mean age was 68 years old. Fifty-four per cent had neurological symptoms. The percentage of pre stenting stenosis was 86 ± 8 and the percentage of post stenting stenosis was 18 ± 15. There were 3 patients who had complications after the pro cedure (minor stroke= 2, severe bradycardia= 1). One patient died. There were no new or recurrent neurological events during the 6 to 84 month-follow-up.
Conclusions : Carotid stent implantation may be an alternate treatment for extracranial carotid stenosis.

Keywords : Carotid Artery Occlusive Disease, Extracranial Stenting

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