Concomitant Multiple Revascularizations in Supra-Aortic Arteries: Short-Term Results in 50 Patients

• DOI: 10.3174/ajnr.a0706
• Publication Date: 2007-10-06T00:33:51Z
• Authors: H.W. Pyun; D.C. Suh; J.K. Kim; J.S. Kim; Y.J. Choi; M.-H. Kim; H.R. Yang; Y.M. Jang; M.-S. Ko; E.Y. Cha; D.H. Yang; S.J. Kim
• Keywords: Concomitant; Stroke

<b>BACKGROUND AND PURPOSE:</b> The outcome for simultaneous revascularization of more than 1 supra-aortic arterial stenosis has not been evaluated because concerns regarding the increased risk additional procedures. We feasibility and safety concomitant multiple revascularizations (CMSAR). <b>MATERIALS METHODS:</b> retrospectively 50 consecutive patients who underwent CMSARs with angioplasty stent placement. study included a separate lesion group (LG) (<i>n</i> = 28), ipsilateral LG 17) including adjacent 6) remote 11) tandem lesions, triple 5). assessed procedural success (defined as residual &lt;30%) periprocedural event rate (ER) (minor or major stroke, death). compared ERs in (ipsilateral vs separate) symptom (unstable stable) pattern groups Fisher exact test. <b>RESULTS:</b> Procedural was achieved all (50/50). Periprocedural events within 30 days were noted 5 (10%). ER 2 after procedure higher (4/17) (0/28) (<i>P</i> .016). Major consisting stroke death occurred unstable (4%) common (2 7) stable (0/38) .029). During mean 11-month follow-up period, there symptomatic recurrence. <b>CONCLUSION:</b> are feasible high resulting favorable short-term outcome. However, they must be carefully performed LG, especially group.