Use of a Large Angioplasty Balloon for Predilation is a Risk Factor for Embolic Complications in Protected Carotid Stenting
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概要
- 論文の詳細を見る
Periprocedural neurological complications (PNCs) after carotid stenting were retrospectively analyzed to determine the risk factors with the use of various protective devices. Forty-three lesions in 40 patients were treated by carotid stenting with distal balloon protection for nearly all postdilation procedures and some predilation procedures. The following variables were statistically analyzed for association with PNCs: diameter of the angioplasty balloon used for predilation, use of a distal protection balloon during predilation, use of a protection balloon during postdilation, lesion-bifurcation distance, length of the lesion, age, clinical presentation of the lesion (symptomatic or asymptomatic), and hypercholesterolemia. PNCs occurred in five patients, four with minor deficits and one with major deficits. Univariate analysis showed large diameter of the predilation angioplasty balloon (p = 0.0026), use of a protection balloon during predilation (p = 0.0075), lesion length (p = 0.0003), and lesion-bifurcation distance (p = 0.0006) were significantly associated with PNCs. Multivariate analysis of these four variables showed that use of a large angioplasty balloon for predilation was the only independent predictor (p = 0.004, odds ratio 34.00) for the occurrence of PNCs. Use of a large angioplasty balloon for predilation carries the risk of periprocedural embolic complications. Therefore, even when a protection device is used, predilation should be performed with a small balloon.
- 日本脳神経外科学会の論文
- 2004-07-15
著者
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HASHIMOTO Nobuo
Department of Neurosurgery, Kyoto University Graduate School of Medicine
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SADATO Akiyo
Department of Neurosurgery, Fujita Health University
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ISHII Akira
Department of Medical Zoology, Jichi Medical School
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Hashimoto Nobuo
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto Kyoto
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Ohta Takeshi
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto Kyoto
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Loftus Christopher
Department Of Neurosurgery Temple University School Of Medicine
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Ohta Takeshi
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Sadato Akiyo
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Sadato Akiyo
Department Of Brain Pathophysiology Kyoto University Graduate School Of Medicine
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Ohta Tsuyoshi
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto Kyoto
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SATOW Tetsu
Department of Neurosurgery,Kyoto University Graduate School of Medicine,Kyoto,Kyoto
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Satow Tetsu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine Kyoto Kyoto
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Hashimoto Nobuo
Department Of Cerebrovascular Surgery National Cordiovascular Center
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Satow Tetsu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Barrow Daniel
Department Of Neurosurgery Emory Clinic
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Ishii Akira
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Ishii Akira
Department Of Angiology And Cardiology Kitasato University Graduate School Of Medical Sciences
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