Cerebral embolization in patients undergoing protected carotid-artery stenting and carotid surgery

Vittorio Faraglia, G. Palombo, N. Stella, M. Taurino, M. L. Iocca, A. Romano, A. Bozzao

Research output: Contribution to journalArticle

Abstract

Aim. Intraoperative cerebral embolization is a greater concern in patients undergoing carotid-artery stenting (CAS) than in those undergoing the reference standard treatment carotid endarterectomy (CEA). We evaluated cerebral embolism with diffusion-weighted magnetic resonance imaging (DW-MRI) and transcranial Doppler monitoring during CAS and CEA. Methods. A series of 75 patients with carotid stenosis, 40 undergoing CEA and 35 transfemoral protected CAS, underwent preoperative and postoperative cerebral DW-MRI. Of the 75 patients, 64 (85%) underwent intraoperative transcranial Doppler monitoring to evaluate the mean number of microembolic signals (MES) recorded in each procedure. Results. None of the patients died. No patient in the CEA but two in the CAS group had strokes (5.7%, P=NS). The mean MES count on transcranial Doppler monitoring was higher in the CAS than in the CEA group (330.0 MES, range 2-754 vs 13.2, range 0-49 MES; P

Original languageEnglish
Pages (from-to)683-688
Number of pages6
JournalJournal of Cardiovascular Surgery
Volume48
Issue number6
Publication statusPublished - Dec 2007

Keywords

  • Brain ischemia
  • Carotid stenosis
  • Endarterectomy, carotid
  • Magnetic resonance imaging
  • Stents
  • Ultrasonography, Doppler, Transcranial

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Faraglia, V., Palombo, G., Stella, N., Taurino, M., Iocca, M. L., Romano, A., & Bozzao, A. (2007). Cerebral embolization in patients undergoing protected carotid-artery stenting and carotid surgery. Journal of Cardiovascular Surgery, 48(6), 683-688.