Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2024-03-24 21:35 |
SM ISO690:2012 PREGUZA, Ion, ZAPUHLÎH, Grigore, POPOVICI, Ion, DAVIDOV, Ghenadie, PREGUZA, Ala, GALEARSCHI, Vasile. Stentarea arterei carotide interne la pacienții simptomatici cu stenoze critice de carotidă: studiu-serie de cazuri. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 370. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 370-370 | ||||||
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Background. Internal carotid artery atherosclerosis account for an estimate of 15-25% of ischemic strokes. Carotid revascularization techniques have proven useful in reducing the incidence of ischemic stroke. Nowadays, carotid artery stenting is a basic treatment for carotid stenosis. Objective of the study. The objective of this publication is to present a series of cases of patients who had a high degree stenosis of ICA and underwent carotid stenting, as secondary stroke prevention. Material and Methods. The study represents a series of symptomatic patients who underwent carotid stenting for critical carotid stenosis. All the procedures were performed in Institute of Neurology and Neurosurgery. Main outcomes like: morbidity and mortality rates at 30 days post procedure; repeated ischemic stroke in the territory of stented artery; and common complications were registered. Results. All the patients were initially evaluated with an angiographic study (CT angio or angiography) for planning the intervention. The patients were operated under conscious sedation and with distal embolic protection. The design of the stents was chosen according to the vascular anatomy of carotid bifurcation. In our case series of patients we didn’t register major complications during, or in first 30 days after the procedure. One patient had a hyperperfusion syndrome which was resolved with careful arterial tension monitoring. Conclusion. Carotid stenting is a safe and efficient procedure, with low periprocedural complications and good outcomes in correctly selected patients. Due to its minimal invasiveness in the future it may become first choice procedure in the treatment of carotid artery stenosis. |
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Cuvinte-cheie stenoză carotidă, stentare, ictus, ateroscleroză, ICA stenosis, stenting, stroke, atherosclerosis |
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