Abstract：
BACKGROUND:Carotid artery stenting (CAS) has become an alternative for carotid endarterectomy in the treatment of carotid artery atherosclerosis, due to limited injury and comparable periprocedural risk. The impact of coronary artery disease (CAD) on long-term follow-up after CAS needs to be reconsidered due to the intensification of aggressive pharmacotherapy in CAD in recent years. AIM:To assess the impact of CAD presence on the long-term follow-up of patients after CAS. METHODS:Data of 130 symptomatic and asymptomatic patients undergoing CAS with cerebral protection systems from December 2002 to December 2010 were divided into two groups: those with and those without CAD. Major adverse cardio- and cerebrovascular events (MACCE) during follow-up were defined as the combination of death (cardiac and non-cardiac), myocardial infarction (MI) and stroke or transient ischaemic attack (TIA). Long-term outcomes of patients were stratified based on the history of CAD. RESULTS:The mean age of patients was 66 ± 9 years, and the majority of patients were male (80.2%). Long-term follow-up data were available in 86.2% of patients. During mean follow-up of 71.9 ± 31.7 months the all-cause mortality rate was 19.3%. The rates of MI, stroke/TIA, and MACCE were 16.7%, 12.3%, and 36.3%, respectively. The frequency of MACCE during long-term follow-up was higher in patients with CAD vs. without CAD (40.8% vs. 6.7%, p = 0.01), and the mortality rate in the two groups was 22.2% vs. 0%, (p = 0.07), respectively. CONCLUSIONS:Patients with symptomatic or asymptomatic carotid stenosis are high-risk individuals. The presence of CAD increases the risk of MACCE in such patients during long-term follow-up.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Arif S,Bartuś S,Dziewierz A,Chyrchel M,Brzeziński M,Rakowski T,Bartuś K,Dudek D,Dubiel Jdoi
10.5603/KP.a2014.0217subject
Has Abstractpub_date
2015-01-01 00:00:00pages
274-9issue
4eissn
0022-9032issn
1897-4279pii
VM/OJS/KP/8739journal_volume
73pub_type
杂志文章abstract：:Taussig-Bing syndrome is a rare congenital heart defect consisting of a double outlet right ventricle paired with a subpulmonic ventricular septal defect. The anomaly has first been described by collaborators Hellen Taussig and Richard Bing. In the 62 years since, much has changed in its diagnosis and treatment, but T...
journal_title：Kardiologia polska
pub_type： 传,历史文章,信件
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