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Fırat Tıp Dergisi
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Extracranial Carotid Artery Stenting in Ischemic Stroke Patients: Single Center Experience
Emrah AYTAÇ1, Çetin Kürşat AKPINAR2, Murat GÖNEN1
1Fırat Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, Elazığ, Türkiye
2Samsun Eğitim ve Araştırma Hastanesi, Nöroloji Anabilim Dalı, Samsun, Türkiye

Objective: Carotid artery stenting is a minimally invasive method, besides being, compared to carotid endarterectomy it has of low incidence of complications such as stroke, myocardial infarction (MI), pulmonary embolism, cranial nerve palsy and low mortality rate. The length of stay in hospital is short. In this study, we aimed to investigate the demographic data and short term results (6 months) of patients who applied cervical internal carotid artery stenting (CAS) procedure for carotid artery disease in the Neurology Nlinic of Firat University Medical Faculty, Department of Neurology.

Material and Method: Forty-four patients who underwent CAS due to atherosclerotic carotid artery stenosis in our neurology clinic were enrolled in the study.

Results: 75% of the patients had hypertension, 52,2% of diabetes, hyperlipidemia in 50% coronary artery disease in 36,4% and 50% of active smokers. There was a history of ischemic stroke or transient ischemic attack during the last 6 months in 68,2% of patients before the procedure. Self-expandable stents and distal emboli protector were used in all patients. Sixteen patients on the right carotid artery, twenty-eight patients left carotid artery was performed successful stenting. None of the patients had clinical worsening or stroke during and after the procedure.

Conclusion: As a result, internal carotid artery stenting is a successful and safe treatment option in prevention of stroke.


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