Comparative Analysis of Procedural Success of Patients Undergoing Carotid Angioplasty in Tertiary Care Center
DOI:
https://doi.org/10.66984/jsmdc.v12.i01.oa.01Keywords:
Carotid stenosis, Stents, StrokeAbstract
Objective: To compare the procedural success between symptomatic and asymptomatic patients who underwent carotid angioplasty in a tertiary care center.
Methodology: This cross-sectional analytical study was conducted at the Rawalpindi Institute of Cardiology, Rawalpindi after taking ethical approval. Data was collected from March 2023 to March 2026. Following written informed consent, 170 patients aged ≥18 years with severe carotid artery stenosis who underwent carotid angioplasty were included using non-probability consecutive sampling. The patients were divided into symptomatic and asymptomatic groups. All cases of carotid angioplasty with stenting were performed electively by the team of interventional cardiologists in the catheterization lab using aseptic protocols. Procedural success was defined as residual stenosis of <30% after stent placement with no major adverse cardiac and cerebrovascular events (MACCEs). Patients were followed up at 30 days and 6 months. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 26.
Results: One hundred and forty one (82.9%) patients had a history of stroke, and were symptomatic, whereas, 29(17.1%) patients were asymptomatic, with either no symptom (6%) or planned for coronary artery bypass grafting (16.5%). The technical success was 100%, with <30% residual stenosis. Out of 170 patients, 2(1.2%) patients died, 3(1.8%) patients developed stroke and 1(0.6%) patient had myocardial infarction at 6 months. The overall procedural success was 96.5%. The procedural success was not significantly different between symptomatic and asymptomatic patients (p-value = 1.00).
Conclusion: Carotid angioplasty showed excellent procedural success in symptomatic as well as asymptomatic patients in a tertiary care center.
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Copyright (c) 2026 Journal of Sharif Medical & Dental College is licensed and distributed under the terms of Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
