Effects of carotid artery stenosis treatment on blood pressure

Joonho Chung, Byungmoon Kim, Ho Kyu Paik, Dong Keun Hyun, Hyeonseon Park

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Object: The purpose of this study was to evaluate and compare the long-term effects of carotid endarterectomy (CEA) and carotid artery stenting (CAS) on blood pressure (BP). Methods: Between January 2003 and December 2009, 134 patients underwent 145 procedures for treatment of carotid artery stenosis. Patients with at least 1 year of clinical and radiographic follow-up after treatment were included in this study. A total of 102 patients met this criterion and were placed in the CEA group (n = 59) or the CAS group (n = 43) according to their treatment. The percentage change in BP decrement and the number of patients with a normotensive BP were evaluated and compared between the groups. Results: There were no significant differences between the groups with regard to baseline characteristics. Compared with the pretreatment BP, the follow-up BPs were significantly decreased in both groups. At the 1-year followup, the percentage change in the BP decrement was greater in the CAS group (percentage change: systolic BP 9.6% and diastolic BP 12.8%) than in the CEA group (percentage change: systolic BP 5.9% [p = 0.035] and diastolic BP = 8.1% [p = 0.049]), and there were more patients with a normotensive BP in the CAS group (46.5%) than in the CEA group (22.0%, p = 0.012). Conclusions: Both CEA and CAS have BP-lowering effects. Carotid artery stenting seems to have a better effect than CEA on BP at the 1-year follow-up.

Original languageEnglish
Pages (from-to)755-760
Number of pages6
JournalJournal of Neurosurgery
Volume117
Issue number4
DOIs
Publication statusPublished - 2012 Oct 1

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Carotid Stenosis
Blood Pressure
Carotid Endarterectomy
Carotid Arteries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Surgery

Cite this

Chung, Joonho ; Kim, Byungmoon ; Paik, Ho Kyu ; Hyun, Dong Keun ; Park, Hyeonseon. / Effects of carotid artery stenosis treatment on blood pressure. In: Journal of Neurosurgery. 2012 ; Vol. 117, No. 4. pp. 755-760.
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Effects of carotid artery stenosis treatment on blood pressure. / Chung, Joonho; Kim, Byungmoon; Paik, Ho Kyu; Hyun, Dong Keun; Park, Hyeonseon.

In: Journal of Neurosurgery, Vol. 117, No. 4, 01.10.2012, p. 755-760.

Research output: Contribution to journalArticle

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N2 - Object: The purpose of this study was to evaluate and compare the long-term effects of carotid endarterectomy (CEA) and carotid artery stenting (CAS) on blood pressure (BP). Methods: Between January 2003 and December 2009, 134 patients underwent 145 procedures for treatment of carotid artery stenosis. Patients with at least 1 year of clinical and radiographic follow-up after treatment were included in this study. A total of 102 patients met this criterion and were placed in the CEA group (n = 59) or the CAS group (n = 43) according to their treatment. The percentage change in BP decrement and the number of patients with a normotensive BP were evaluated and compared between the groups. Results: There were no significant differences between the groups with regard to baseline characteristics. Compared with the pretreatment BP, the follow-up BPs were significantly decreased in both groups. At the 1-year followup, the percentage change in the BP decrement was greater in the CAS group (percentage change: systolic BP 9.6% and diastolic BP 12.8%) than in the CEA group (percentage change: systolic BP 5.9% [p = 0.035] and diastolic BP = 8.1% [p = 0.049]), and there were more patients with a normotensive BP in the CAS group (46.5%) than in the CEA group (22.0%, p = 0.012). Conclusions: Both CEA and CAS have BP-lowering effects. Carotid artery stenting seems to have a better effect than CEA on BP at the 1-year follow-up.

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