医学
闭塞
颈动脉
颈内动脉
血管造影
放射科
血管内治疗
颈动脉支架置入术
B组
外科
动脉瘤
颈动脉内膜切除术
作者
Chung‐Wei Lee,Yen‐Heng Lin,Hon‐Man Liu,Yufen Wang,Ya‐Fang Chen,Jaw‐Lin Wang
标识
DOI:10.1016/j.ijcard.2016.07.127
摘要
Background Proper patient selection criteria for treatment of carotid chronic total occlusion (CTO) are unclear. This study was designed to predict procedure successful rate and 1-year patency after carotid artery stenting (CAS) for carotid CTO using pre-procedural CTA. Methods Patients with CTO detected on CTA who underwent recanalization within 3 months were divided into those with occlusions at (or distal to) the clinoid segment of the internal carotid artery (group A) and those with occlusions proximal to the clinoid segment (group B) and outcomes were compared between groups. Results Technical success rates, major complications, and re-occlusions within 1-year were 52%, 22%, 91% in group A (N = 23), and 89%, 0%, 0% in group B (N = 19), respectively. Diabetes was more frequent in group A (43%) compared with group B (11%). Conclusion CTA may play a role in predicting successful rate and 1-year patency for endovascular recanalization in carotid CTO.
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