Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 875-880 , May 2007

The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting

Presented at the Western Vascular Society 2006 Annual Meeting, La Jolla, Calif, Sep 16-19, 2006.

Received 5 July 2006 ,Accepted 21 December 2006.

References 

  1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325:445–453
  2. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA. 1995;273:1421–1428
  3. Mayberg MR, Wilson SE, Yatsu F, Weiss DG, Messina L, Hershey LA, et al. Veterans Affairs Cooperative Studies Program 309 Trialist Group Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. JAMA. 1991;266:3289–3294
  4. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–1501
  5. Carotid Revascularization Using Endarterectomy or Stenting Systems (CaRESS) phase I clinical trial: 1-year results. J Vasc Surg. 2005;42:213–219
  6. Hobson RW, Howard VJ, Roubin GS, Brott TG, Furguson RD, Popma JJ, et al. Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase. J Vasc Surg. 2004;40:1106–1111
  7. Kastrup A, Schulz JB, Raygrotzki S, Groschel K, Ernemann U. Comparison of angioplasty and stenting with cerebral protection versus endarterectomy for treatment of internal carotid artery stenosis in elderly patients. J Vasc Surg. 2004;40:945–951
  8. Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, et al. Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: a 5-year prospective analysis. Circulation. 2001;103:532–537
  9. Ballotta E, Renon L, Da Giau G, Barbon B, Terranova O, Baracchini C. Octogenarians with contralateral carotid artery occlusion: a cohort at higher risk for carotid endarterectomy?. J Vasc Surg. 2004;39:1003–1008
  10. Mozes G, Sullivan TM, Torres-Russotto DR, Bower TC, Hoskin TL, Sampaio SM, et al. Carotid endarterectomy in SAPPHIRE-eligible high-risk patients: implications for selecting patients for carotid angioplasty and stenting. J Vasc Surg. 2004;39:958–965discussion 965-6
  11. Norman PE, Semmens JB, Laurvick CL, Lawrence-Brown M. Long-term relative survival in elderly patients after carotid endarterectomy: a population-based study. Stroke. 2003;34:e95–e98
  12. Rockman CB, Jacobowitz GR, Adelman MA, Lamparello PJ, Gagne PJ, Landis R, et al. The benefits of carotid endarterectomy in the octogenarian: a challenge to the results of carotid angioplasty and stenting. Ann Vasc Surg. 2003;17:9–14
  13. Schneider JR, Droste JS, Schindler N, Golan JR. Carotid endarterectomy in octogenarians: comparison with patient characteristics and outcomes in younger patients. J Vasc Surg. 2000;31:927–935
  14. Alamowitch S, Eliasziw M, Algra A, Meldrum H, Barnett HJ North American Symptomatic Carotid Endarterectomy Trial (NASCET) Group. Risk, causes, and prevention of ischaemic stroke in elderly patients with symptomatic internal-carotid-artery stenosis. Lancet. 2001;357:1154–1160
  15. Amarenco P, Cohen A, Tzourio C, Bertrand B, Hommel M, Besson G, et al. Atherosclerotic disease of the aortic arch and the risk of ischemic stroke. N Engl J Med. 1994;331:1474–1479
  16. Davila-Roman VG, Barzailai B, Wareing TH, Murphy SF, Schechtman KB, Kouchoukos NT. Atherosclerosis of the ascending aorta (Prevalence and role as an independent predictor of cerebrovascular events in cardiac patients). Stroke. 1994;25:2010–2016
  17. Tuman KJ, McCarthy RJ, Najafi H, Ivankovich AD. Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg. 1992;104:1510–1517
  18. Salomon NW, Page US, Bigelow JC, Krause AH, Okies JE, Metzdorff MJ. Coronary artery bypass grafting in elderly patients (Comparative results in a consecutive series of 469 patients older than 75 years). J Thorac Cardiovasc Surg. 1991;101:209–217discussion 217-8
  19. Low AS, Lim WE, Chan LL, Tan HM, Tan KP. Audit of diagnostic and interventional craniocervical catheter angiographic procedures at the Singapore General Hospital. Ann Acad Med Singapore. 2004;33:607–613
  20. Gerraty RP, Bowser DN, Infeld B, Mitchell PJ, Davis SM. Microemboli during carotid angiography (Association with stroke risk factors or subsequent magnetic resonance imaging changes?). Stroke. 1996;27:1543–1547
  21. Brown DL, Topol EJ. Stroke complicating percutaneous coronary revascularization. Am J Cardiol. 1993;72:1207–1209
  22. Acinapura AJ, Rose DM, Cunningham JN, Jacobowitz IJ, Kramer MD, Zisbrod Z. Coronary artery bypass in septuagenarians (Analysis of mortality and morbidity). Circulation. 1988;78:I179–I184
  23. Davila-Roman VG, Murphy SF, Nickerson NJ, Kouchoukos NJ, Schechtman KB, Barzilai B. Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality. J Am Coll Cardiol. 1999;33:1308–1316
  24. Van der Linden J, Hadjinikolaou L, Bergman P, Lindblom D. Postoperative stroke in cardiac surgery is related to the location and extent of atherosclerotic disease in the ascending aorta. J Am Coll Cardiol. 2001;38:131–135
  25. Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Salymosi L. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet. 1999;354:1594–1597
  26. Knipp SC, Matatko N, Wilhelm H, Schlamann M, Massoudy P, Forsting M, et al. Evaluation of brain injury after coronary artery bypass grafting (A prospective study using neuropsychological assessment and diffusion-weighted magnetic resonance imaging). Eur J Cardiothorac Surg. 2004;25:791–800
  27. Orlandi G, Fanucchi S, Gallerini S, Sonnoli C, Cosottini M, Puglioli M, et al. Impaired clearance of microemboli and cerebrovascular symptoms during carotid stenting procedures. Arch Neurol. 2005;62:1208–1211
  28. Van Oostrom O, Velema E, Schoneveld AH, de Vries JP, de Bruin P, Seldenrijk CA, et al. Age-related changes in plaque composition: a study in patients suffering from carotid artery stenosis. Cardiovasc Pathol. 2005;14:126–134

 Competition of interest: none.CME article

PII: S0741-5214(07)00009-2

doi: 10.1016/j.jvs.2006.12.059

Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 875-880 , May 2007