Carotid Artery Stenting: Do Procedural Complications Relate to the Side Intervened Upon?: Results From the Carotid Artery Stent (CAS)-Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)

Catheter Cardiovasc Interv. 2009 Jul 1;74(1):1-8. doi: 10.1002/ccd.22050.

Abstract

Objectives: To determine the influence of the side intervened upon on outcomes during carotid artery stenting (CAS).

Background: Anatomic and technical aspects may influence the results of CAS. The value of the side intervened upon has not been analyzed yet.

Methods: We analyzed data from the Carotid Artery Stent (CAS)-Registry.

Results: A total of 3,165 CAS procedures, 1,613 (51%) at the left and 1,552 (49%) at the right carotid artery were included. There was a higher proportion of patients treated for symptomatic stenoses when CAS was performed at the left carotid artery (50.1% versus 45.8%, P = 0.016) and more patients already had prior carotid endarterectomy (8.5% versus 5.8%, P = 0.003). Interventions at the left side took 3 min longer than interventions at the right side (46.6 +/- 24.3 versus 43.8 +/- 23.6, P = 0.003). In patients treated at the left carotid artery amaurosis fugax (0.7% versus 0.1%, P = 0.005), ipsilateral stroke (3.1% versus 1.8%, P = 0.017), and the primary endpoint of in-hospital death or stroke (4.1% versus 2.3%, P = 0.005) occurred significantly more often. Even after adjusting for confounding parameters, CAS procedures performed at the left carotid arteries remained an independent predictor of death or stroke (OR = 1.77, 95% CI: 1.15-2.72, P = 0.009).

Conclusions: In current clinical practice, CAS is performed frequently at the right carotid artery as at the left carotid artery. CAS interventions have a higher in-hospital complication rate if performed at the left carotid artery. Technical improvements might help to overcome this situation.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Aged
  • Amaurosis Fugax / etiology
  • Angioplasty / adverse effects*
  • Angioplasty / instrumentation*
  • Angioplasty / mortality
  • Carotid Stenosis / mortality
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid
  • Female
  • Germany / epidemiology
  • Hospital Mortality
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • Prospective Studies
  • Registries
  • Reoperation
  • Risk Assessment
  • Risk Factors
  • Stents*
  • Stroke / etiology
  • Time Factors
  • Treatment Outcome