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Intracranial hemorrhage after carotid angioplasty: a pooled analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kang, Hyun-Seung | - |
dc.contributor.author | Han, Moon Hee | - |
dc.contributor.author | Kwon, O-Ki | - |
dc.contributor.author | Kwon, Bae Ju | - |
dc.contributor.author | Kim, Sung Hyun | - |
dc.contributor.author | Oh, Chang Wan | - |
dc.date.accessioned | 2009-11-26T07:37:31Z | - |
dc.date.available | 2009-11-26T07:37:31Z | - |
dc.date.issued | 2007-02-13 | - |
dc.identifier.citation | J Endovasc Ther. 2007 Feb;14(1):77-85. | en |
dc.identifier.issn | 1526-6028 (Print) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17291153 | - |
dc.identifier.uri | https://hdl.handle.net/10371/16133 | - |
dc.description.abstract | PURPOSE: To use a pooled analysis of the literature to find the incidence of and characteristics common to intracranial hemorrhage (ICH) associated with carotid artery stenting (CAS). METHODS: A search of the English-language literature (1996-2005) was performed in PubMed to find cases of CAS-associated ICH. Information was derived from the identified case studies in 5 categories and 19 aspects: (1) incidence of CAS-associated ICH; (2) demographic data (sex, age, symptom presentation, and presence of preexisting hypertension); (3) imaging data (side of lesion, degree of maximal stenosis, lesion location, status of the contralateral carotid artery, collateral circulation, and preprocedural imaging features); 4) procedure-related characteristics (antithrombotic medication, use of cerebral protection devices, residual stenosis, symptoms, interval from the procedure to ICH, type of ICH, and blood pressure changes); and (5) clinical outcome. RESULTS: Fifty-four cases of CAS-associated ICH were reviewed: 51 cases from 36 published articles and our own 3 cases. The incidence of CAS-associated ICH was 0.63% (95% CI 0.38% to 0.97%) in studies consisting of >100 cases, which was significantly lower (p<0.0001) than that of case series consisting of <100 cases (2.69%, 95% CI 1.75% to 3.94%). Distinctive features included symptomatic lesions, severe stenosis (> or =90%), maximal stenosis in the internal carotid artery (ICA) distal to the bifurcation, and preexisting cerebral infarction. CONCLUSION: The incidence of CAS-associated ICH was significantly lower in series consisting of >100 cases. More caution should be directed toward patients with symptomatic lesions, severe stenosis, maximal ICA stenosis distal to the carotid bifurcation, and preexisting cerebral infarction. | en |
dc.language.iso | en | - |
dc.publisher | International Society of Endovascular Specialists | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Angioplasty/*adverse effects | en |
dc.subject | Carotid Artery Diseases/pathology/physiopathology/*surgery | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Incidence | en |
dc.subject | Intracranial Hemorrhages/epidemiology/*etiology | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Risk Factors | en |
dc.subject | Treatment Outcome | en |
dc.subject | Stents | - |
dc.title | Intracranial hemorrhage after carotid angioplasty: a pooled analysis | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 강현승 | - |
dc.contributor.AlternativeAuthor | 한문희 | - |
dc.contributor.AlternativeAuthor | 권오기 | - |
dc.contributor.AlternativeAuthor | 권배주 | - |
dc.contributor.AlternativeAuthor | 김성현 | - |
dc.contributor.AlternativeAuthor | 오창완 | - |
dc.identifier.doi | 10.1583/06-1991.1 | - |
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