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Intracranial hemorrhage after carotid angioplasty: a pooled analysis

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dc.contributor.authorKang, Hyun-Seung-
dc.contributor.authorHan, Moon Hee-
dc.contributor.authorKwon, O-Ki-
dc.contributor.authorKwon, Bae Ju-
dc.contributor.authorKim, Sung Hyun-
dc.contributor.authorOh, Chang Wan-
dc.date.accessioned2009-11-26T07:37:31Z-
dc.date.available2009-11-26T07:37:31Z-
dc.date.issued2007-02-13-
dc.identifier.citationJ Endovasc Ther. 2007 Feb;14(1):77-85.en
dc.identifier.issn1526-6028 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17291153-
dc.identifier.urihttps://hdl.handle.net/10371/16133-
dc.description.abstractPURPOSE: 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.isoen-
dc.publisherInternational Society of Endovascular Specialistsen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAngioplasty/*adverse effectsen
dc.subjectCarotid Artery Diseases/pathology/physiopathology/*surgeryen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectIncidenceen
dc.subjectIntracranial Hemorrhages/epidemiology/*etiologyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectRisk Factorsen
dc.subject*Stentsen
dc.subjectTreatment Outcomeen
dc.titleIntracranial hemorrhage after carotid angioplasty: a pooled analysisen
dc.typeArticleen
dc.contributor.AlternativeAuthor강현승-
dc.contributor.AlternativeAuthor한문희-
dc.contributor.AlternativeAuthor권오기-
dc.contributor.AlternativeAuthor권배주-
dc.contributor.AlternativeAuthor김성현-
dc.contributor.AlternativeAuthor오창완-
dc.identifier.doi10.1583/06-1991.1-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Neurosurgery (신경외과학전공)Journal Papers (저널논문_신경외과학전공)
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