Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 841-845 , November 2007

Increased aortic arch calcification in patients older than 75 years: Implications for carotid artery stenting in elderly patients

Presented at the 2007 Peripheral Vascular Surgery Society Spring Meeting, Baltimore, Md, June 6-9, 2007.

  • Hernan A. Bazan, MD

      Affiliations

    • Department of Surgery, Yale University School of Medicine, New Haven, Conn
    • Corresponding Author InformationReprint requests: Hernan A. Bazan, MD, Department of Surgery, Section of Vascular Surgery, Louisiana State University Health Sciences Center in New Orleans, 533 Bolivar Street, Room 524, New Orleans, LA 70112.
    • ,
  • Sanjeev Pradhan, MD

      Affiliations

    • Department of Surgery, Yale University School of Medicine, New Haven, Conn
    • ,
  • Hamid Mojibian, MD

      Affiliations

    • Department of Diagnostic Imaging, Yale University School of Medicine, New Haven, Conn
    • ,
  • Tassos Kyriakides, PhD

      Affiliations

    • VA Connecticut Healthcare Systems, West Haven, Conn.
    • ,
  • Alan Dardik, MD, PhD

      Affiliations

    • Department of Surgery, Yale University School of Medicine, New Haven, Conn
    • VA Connecticut Healthcare Systems, West Haven, Conn.

Received 23 April 2007 ,Accepted 27 June 2007.

References 

  1. Zahn R, Ischinger T, Hochadel M, et al. Carotid artery stenting in octogenarians: results from the ALKK Carotid Artery Stent (CAS) Registry. Eur Heart J. 2007;28:370–375
  2. Hobson RW, Howard VJ, Roubin GS, 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
  3. 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
  4. Roubin GS, New G, Iyer SS, 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
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  6. Stanziale SF, Marone LK, Boules TN, et al. Carotid artery stenting in octogenarians is associated with increased adverse outcomes. J Vasc Surg. 2006;43:297–304
  7. Iribarren C, Sidney S, Sternfeld B, Browner WS. Calcification of the aortic arch: risk factors and association with coronary heart disease, stroke, and peripheral vascular disease. JAMA. 2000;283:2810–2815
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  11. Oei HH, Vliegenthart R, Hak AE, et al. The association between coronary calcification assessed by electron beam computed tomography and measures of extracoronary atherosclerosis: the Rotterdam Coronary Calcification Study. J Am Coll Cardiol. 2002;39:1745–1751
  12. Wagenknecht LE, Langefeld CD, Carr JJ, et al. Race-specific relationship between coronary and carotid artery calcification and carotid intimal medial thickness. Stroke. 2004;35:e97–e99
  13. Mas JL, Chatellier G. Endarterectomy versus stenting for carotid stenosis. [authors’ reply] N Engl J Med. 2007;356:306–307
  14. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990;15:827–832
  15. Lin SC, Trocciola SM, Rhee J, et al. Analysis of anatomic factors and age in patients undergoing carotid angioplasty and stenting. Ann Vasc Surg. 2005;19:798–804
  16. Setacci C, de Donato G, Chisci E, et al. Is carotid artery stenting in octogenarians really dangerous?. J Endovasc Surg. 2006;13:302–309
  17. Longo M, Kibbe MR, Eskandari MK. Carotid artery stenting in octogenarians: is it too risky?. Ann Vasc Surg. 2005;19:812–816
  18. Narins CR, Illig KA. Patient selection for carotid stenting versus endarterectomy: a systematic review. J Vasc Surg. 2006;44:661–672

 Competition of interest: none.This material is the result of work partially supported by the National Institutes of Health Career Development award HL079927/American Vascular Association William J. von Liebig Award, as well as with resources and the use of facilities at the VA Connecticut Healthcare System, West Haven.CME article

PII: S0741-5214(07)01183-4

doi: 10.1016/j.jvs.2007.06.048

Journal of Vascular Surgery
Volume 46, Issue 5 , Pages 841-845 , November 2007

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