Introduction: The stenosis of the internal carotid artery is one of the most important causes of ischemic stroke. Now-a-days, endovascular therapy has been established as an alternative to endarterectomy in patients who would benefit from it, but in whom surgery is not deemed appropriate, due to a high surgical or anesthetic risk.
Methods: We performed a descriptive, retrospective and blinded analysis of the clinical records of patients diagnosed with carotid disease between January 2007 and January 2013. The occurrence of stroke, acute myocardial infarction and mortality was analyzed at one month, 6 months, 12 months and 24 months after follow-up; also the degree of functional disability according to the Modified Rankin Scale.
Results: 61 cases were analyzed, of which 20 patients met inclusion criteria for the study. The average age was 63.0 years (range: 41-83 years); 15 men and 5 women. 100% had a previous history ischemic cerebrovascular event prior to treatment. Two patients (10%) had an ischemic vascular event during follow-up; mortality at 2 years in the population was 5% (1 patient). 75% (15 patients) showed an improvement of 1 or more points in the Functional Modified Rankin scale.
Conclusions: The results shown in this series are similar to those shown in international studies with a high degree of scrutiny. Endovascular procedures for treatment of carotid stenosis are safe and show good results in symptomatic patients.
Patient Care: Endovascular treatment for carotid stenosis has become an option treatment recently, considered as minimal invasive and low-risk. However, it still has no consideration in some contries. We present our initial series in real world situations with good results, so I may improve considerations on this procedures in regions where it is accepted just as part of randomized clinical trials.
Learning Objectives: To analyze retrospectively the results obtained in patients treated with endovascular therapy in the Department of Neurosurgery of the Hospital Juarez de Mexico for the treatment of carotid stenosis.
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