Factors associated with time delay to carotid stenting in patients with a symptomatic carotid artery stenosis

Treatment of a symptomatic stenosis is known to be most beneficial within 14 days after the presenting event but this can frequently not be achieved in daily practice. The aim of this study was the assessment of factors responsible for this time delay to treatment. A retrospective analysis of a pros...

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Bibliographic Details
Published in:Journal of neurology 2011-07, Vol.258 (7), p.1228-1233
Main Authors: Gröschel, Klaus, Schnaudigel, Sonja, Wasser, Katrin, Pilgram-Pastor, Sara M., Ernemann, Ulrike, Knauth, Michael, Kastrup, Andreas
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Blood pressure
Cardiovascular disease
Carotid arteries
Carotid Stenosis - surgery
Diabetes
Endarterectomy, Carotid - methods
Female
Humans
Ischemia
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Original Communication
Prospective Studies
Retrospective Studies
Risk Factors
Severity of Illness Index
Statistics, Nonparametric
Stents
Stroke
Time Factors
Transient ischemic attack
Treatment Outcome
Ultrasonic imaging
Vascular diseases and vascular malformations of the nervous system
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Summary:Treatment of a symptomatic stenosis is known to be most beneficial within 14 days after the presenting event but this can frequently not be achieved in daily practice. The aim of this study was the assessment of factors responsible for this time delay to treatment. A retrospective analysis of a prospective two-center CAS database was carried out to investigate the potential factors that influence a delayed CAS treatment. Of 374 patients with a symptomatic carotid stenosis, 59.1% were treated beyond ≥14 days. A retinal TIA event (OR = 3.59, 95% CI 1.47–8.74, p  
ISSN:0340-5354
1432-1459
DOI:10.1007/s00415-011-5909-0