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두개외 경동맥 협착증에 대한 스텐트 삽입술의 추적 결과
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 심원흠 | - |
dc.contributor.author | 장양수 | - |
dc.contributor.author | 최동훈 | - |
dc.date.accessioned | 2019-11-26T01:11:51Z | - |
dc.date.available | 2019-11-26T01:11:51Z | - |
dc.date.issued | 1998 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/172819 | - |
dc.description.abstract | Background and Objectives:Carotid artery stenting has evolved as a potential alternative to carotid endarterectomy in patients (pts) with significant carotid artery stenosis. We evaluated the feasibility and long-term outcome of carotid artery stenting in selected pts at high surgical risk. Materials and Methods:Between May, 1996 and September 1998 we performed carotid artery stenting at 35 lesions in 25 pts. There were 23 males and 2 females. Mean age was 63.2±6.6 (range 54-77). Eight four percent (21/25) of the pts had significant coronary artery disease. Sixty four percent (16/25) of the pts had significant peripheral artery lesions. Sixty percent (15/25) of the pts had neurologic symptoms or non-disabling stroke. We used Wallstent in 32 lesions and Palmaz stent in 3 lesions. Carotid stenting was undertaken in 33 internal carotid, 1 common carotid and 1 external carotid lesions. Bilateral carotid stenting was undertaken in forty percent (10/25) of the pts. Results: Carotid stenting was successful in all lesions. One patient died due to massive cerebral hemorrhage 3 days after carotid stenting, who had und-erwent stenting as a rescue procedure for failed endarterectomy. One major stroke developed during procedure with partial recovery. For the combined endpoint of strokes and death within 30 days of procedure, the incidence was 8% and 5.7% in terms of pts and procedures, respectively. On follow-up (12±7 months), we found neither neurologic complications nor death. Angiographic and/or duplex sonography which were performed at 5.5 month in all (18) eligible pts with 24 lesions revealed no evidence of stent deformity or restenosis (50% of diameter stenosis). Mean angiographic stenosis was 20% on follow-up angiography. Conclusion:Carotid artery stenting can be performed with high success and low complication rate in pts with significant carotid artery stenosis especially at high surgical risk. Follow-up clinical outcome of average 12 month was good with low restenosis rate. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한심장학회 | - |
dc.relation.isPartOf | Korean Circulation Journal (순환기) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 두개외 경동맥 협착증에 대한 스텐트 삽입술의 추적 결과 | - |
dc.title.alternative | Follow-up Results of Stent Placement for Extracranial Carotid Artery Stenosis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | 윤영섭 | - |
dc.contributor.googleauthor | 홍범기 | - |
dc.contributor.googleauthor | 최동훈 | - |
dc.contributor.googleauthor | 김선호 | - |
dc.contributor.googleauthor | 김동익 | - |
dc.contributor.googleauthor | 김승민 | - |
dc.contributor.googleauthor | 장양수 | - |
dc.contributor.googleauthor | 심원흠 | - |
dc.identifier.doi | 10.4070/kcj.1998.28.11.1820 | - |
dc.contributor.localId | A02202 | - |
dc.contributor.localId | A03448 | - |
dc.contributor.localId | A04053 | - |
dc.relation.journalcode | J01953 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.subject.keyword | Carotid arteries | - |
dc.subject.keyword | Stenosis·Stents | - |
dc.subject.keyword | Carotid endarterectomy | - |
dc.contributor.alternativeName | Shim, Won Heum | - |
dc.contributor.affiliatedAuthor | 심원흠 | - |
dc.contributor.affiliatedAuthor | 장양수 | - |
dc.contributor.affiliatedAuthor | 최동훈 | - |
dc.citation.volume | 28 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1820 | - |
dc.citation.endPage | 1827 | - |
dc.identifier.bibliographicCitation | Korean Circulation Journal (순환기), Vol.28(11) : 1820-1827, 1998 | - |
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