{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:34:33Z","timestamp":1761561273076},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,8,26]],"date-time":"2008-08-26T00:00:00Z","timestamp":1219708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Purpose:<\/jats:styled-content> Elderly patients have a higher risk of complications in carotid endarterectomy. The aim of the study was to evaluate whether carotid artery stenting (CAS) performed in octogenarians also increases the procedure related risk. <jats:styled-content>Methods:<\/jats:styled-content> 870 patients (male 626) mean age 70.9 \u00b1 9.3 years underwent 930 CAS for de novo lesions (<jats:italic>n<\/jats:italic> = 851) restenoses (<jats:italic>n<\/jats:italic> = 54) post radiation (<jats:italic>n<\/jats:italic> = 14) inflammatory arteritis (<jats:italic>n<\/jats:italic> = 9) post trauma aneurysms (<jats:italic>n<\/jats:italic> = 2). Indications for treatment: symptomatic carotid stenosis \u2265 70% (<jats:italic>n<\/jats:italic> = 577) or asymptomatic stenosis \u2265 80%. Patients were separated into two age groups: &lt;80 years (749 patients, 806 CAS) and &gt;80 years (121 patients, 124 CAS). 187 CAS performed without protection (N.P\u2212) 6 patients &gt;80 years, 743 with protection (NP+) (occlusion balloon: 334, filters: 404, reversal flow: 6) 118 patients &gt;80 years. Data analysis included neurological complications, death and myocardial infarction (MI) rate at 30 days, anatomical particularities. Technical points will be described depending on the age of the patient. <jats:styled-content>Results:<\/jats:styled-content> Technical success 804\/806 in patients &lt;80 years, 123\/124 in patients &gt;80 years (NS). 30 days outcomes: in the patient group &lt;80 years we observed 9 TIA (1.1%) 3 without NP (1.7%) 6 with NP (0.9%), 5 minor strokes (0.6%) 2 without NP (1.1%) 3 with NP (0.5%), 3 major strokes: 2 without NP (1.1%) 1 with NP (0.2%), 5 deaths (0.6%) 2 without NP (1.1%) 3 with NP (0.5%). Death\/stroke\/MI: 14 (1.8%) 6 without NP (3.3%), 8 with NP (1.3%). In the group &gt;80 years, we observed 2 TIA (1.7%) 1 without NP 1 with NP (0.92%) 1 minor stroke without NP (17%) no major stroke, no death. Death\/stroke\/MI 1 without NP (17%). <jats:styled-content>Conclusion:<\/jats:styled-content> CAS can be performed in elderly patients without higher risk than in younger patients. But good indications, a meticulous technique, protection devices are mandatory and some technical points must be pointed out to avoid neurological complications and failures. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.21574","type":"journal-article","created":{"date-parts":[[2008,8,26]],"date-time":"2008-08-26T15:53:18Z","timestamp":1219765998000},"page":"309-317","source":"Crossref","is-referenced-by-count":18,"title":["Carotid angioplasty and stenting in octogenarians: Is it safe?"],"prefix":"10.1002","volume":"72","author":[{"given":"M.","family":"Henry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Henry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Polydorou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Hugel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,8,26]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199108153250701"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)92916-P"},{"key":"e_1_2_6_4_2","doi-asserted-by":"crossref","first-page":"3289","DOI":"10.1001\/jama.1991.03470230047029","article-title":"Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. 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