Indian Journal of Vascular and Endovascular Surgery

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 4  |  Issue : 3  |  Page : 97--100

Simultaneous Bilateral Carotid Stenting in High-risk Patients: A Single-center Experience with Review of Literature


Lakshmi Sudha Prasanna Karanam, Sridhar Reddy Baddam, Anurag Polavarapu, Vijaya Pamidimukkala, Raghavasarma Polavarapu 
 Department of Neurointervention and Neurology, Lalitha Super Specialty Hospital, Guntur, Andhra Pradesh, India

Correspondence Address:
Lakshmi Sudha Prasanna Karanam
Department of Neurointervention and Neurology, Lalitha Super Specialty Hospital, Guntur, Andhra Pradesh
India

Background: The aim of the present study is to determine the role of simultaneous carotid artery stenting in high-risk patients with triple vessel coronary artery disease and to determine the safety and efficacy of the procedure in these cases. Materials and Methods: The present study is a retrospective analysis of 33 patients who underwent carotid artery stenting in the same setting in our institution from 2009 to 2016. There were 22 male and 11 females with a mean age of 65 years (53–76 years). Demographic factors clinical characteristics and atherosclerosis risk factors were documented. Results: Technical success was 100% in our series. Intraprocedural and postprocedural events in the form of hypotension and bradycardia due to hemodynamic depression were seen in 11 patients. We did not encounter hyperperfusion syndrome in any of our patients. Twenty-nine patients underwent cardiac bypass surgery after 3 weeks, and 4 patients were kept on medical management for coronary artery disease. No deaths or major strokes occurred in our series. Conclusion: Simultaneous bilateral carotid artery stenting is a safe treatment option even in patients with high-risk factors and can be considered as the therapeutic option in patients with significant bilateral carotid artery disease.


How to cite this article:
Karanam LS, Baddam SR, Polavarapu A, Pamidimukkala V, Polavarapu R. Simultaneous Bilateral Carotid Stenting in High-risk Patients: A Single-center Experience with Review of Literature.Indian J Vasc Endovasc Surg 2017;4:97-100


How to cite this URL:
Karanam LS, Baddam SR, Polavarapu A, Pamidimukkala V, Polavarapu R. Simultaneous Bilateral Carotid Stenting in High-risk Patients: A Single-center Experience with Review of Literature. Indian J Vasc Endovasc Surg [serial online] 2017 [cited 2020 Jul 12 ];4:97-100
Available from: http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2017;volume=4;issue=3;spage=97;epage=100;aulast=Karanam;type=0