SIMULTANEOUS BILATERAL CAROTID STENTING: A SINGLE CENTRE EXPERIENCE

Abstract

Objective: To evaluate the efficiency, reliability and complications of simultaneous bilateral carotid artery stenting in patients with atherosclerotic bilateral carotid artery stenosis. Methodology: We analyzed 14 consecutive patients who underwent simultaneous bilateral carotid stenting from September 2010 to January 2016, retrospectively. Clinical outcomes at 30 days and one year after stenting, including hyperperfusion syndrome, haemodynamic depression, minor and major stroke, myocardial infarction and death, were assessed. Results: The patients were 43 to 73 (62.3 ± 8.8) years old, and 8 (57.1%) were male. Carotid stenting procedure success rate was 100%. Distal embolic protection devices were used in all patients. Up to 30 days after carotid artery stenting, the haemodynamic depression rate was 21.4% (3/14). There were no deaths, minor and major strokes, cases of hyperperfusion syndrome or myocardial infarctions within 30 days. One patient died of septic shock seven months after carotid artery stenting. There were no minor and major strokes or myocardial infarctions within one year. Conclusion: The data showed that simultaneous bilateral carotid stenting is a technically feasible and reliable alternative treatment method in a selected group of patients with bilateral carotid artery disease.