Stenting in Brain Hemodynamic Injury of Carotid Origin Caused by Type A Aortic Dissection: Local Experience and Systematic Literature Review
| Title: | Stenting in Brain Hemodynamic Injury of Carotid Origin Caused by Type A Aortic Dissection: Local Experience and Systematic Literature Review |
|---|---|
| Authors: | Aita, Jean-François; Agripnidis, Thibault; Testud, Benoit; Barral, Pierre-Antoine; Jacquier, Alexis; Reyre, Anthony; Alnuaimi, Ammar; Girard, Nadine; Tradi, Farouk; Habert, Paul; Gariboldi, Vlad; Collart, Frederic; Bartoli, Axel; Hak, Jean-François |
| Contributors: | Département de Radiologie Hôpital de la Timone - APHM; Hôpital de la Timone CHU - APHM (TIMONE); Laboratoire d'Imagerie Interventionnelle Expérimentale (LIIE); Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM); Centre Européen de Recherche en Imagerie médicale (CERIMED); Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-École Centrale de Marseille (ECM)-Institut Paoli-Calmettes (IPC); Fédération nationale des Centres de lutte contre le Cancer (FNCLCC)-Fédération nationale des Centres de lutte contre le Cancer (FNCLCC)-Centre National de la Recherche Scientifique (CNRS) |
| Source: | ISSN: 2075-4426 ; Journal of Personalized Medicine ; https://amu.hal.science/hal-03959847 ; Journal of Personalized Medicine, 2023, 13 (1), pp.58. ⟨10.3390/jpm13010058⟩. |
| Publisher Information: | CCSD; MDPI |
| Publication Year: | 2023 |
| Collection: | Aix-Marseille Université: HAL |
| Subject Terms: | Dissection; Surgery; Stenting; Carotid; Malperfusion; Brain; Aortic; [SDV]Life Sciences [q-bio] |
| Description: | International audience ; In this study, we report our local experience of type A aortic dissections in patients with cerebral malperfusion treated with carotid stenting before or after aortic surgery, and present a systematic literature review on these patients treated either with carotid stenting (CS) before or after aortic surgery (AS) or with aortic and carotid surgery alone (ACS). We report on patients treated in our center with carotid stenting for brain hemodynamic injury of carotid origin caused by type A dissection since 2018, and a systematic review was conducted in PubMed for articles published from 1990 to 2021. Out of 5307 articles, 19 articles could be included with a total of 80 patients analyzed: 9 from our center, 29 patients from case reports, and 51 patients from two retrospective cohorts. In total, 8 patients were treated by stenting first, 72 by surgery first, and 7 by stenting after surgery. The mean age; initial NIHSS score; time from symptom onset to treatment; post-treatment clinical improvement; post-treatment clinical worsening; mortality rate; follow-up duration; and follow-up mRS were, respectively, for each group (local cohort, CS before AS, ACS, CS after AS): 71.2 ± 5.3 yo, 65.5 ± 11.0 yo; 65.3 ± 13.1 yo, 68.7 ± 5.8 yo; 4 ± 8.4, 11.3 ± 8.5, 14.3 ± 8.0, 0; 11.8 ± 14.3 h, 21 ± 39.3 h, 13.6 ± 17.8 h, 13 ± 17.2 h; 56%, 71%, 86%, 57%; 11%, 28%, 0%, 14%; 25%, 12.3%, 14%, 33%; 5.25 ± 2.9 months, 54 months, 6.8 ± 3.8 months, 14 ± 14.4 months; 1 ± 1; 0.25 ± 0.5, 1.3 ± 0.8, 0.68 ± 0.6. Preoperative carotid stenting for hemodynamic cerebral malperfusion by true lumen compression appears to be feasible, and could be effective and safe, although there is still a lack of evidence due to the absence of comparative statistical analysis. The literature, albeit growing, is still limited, and prospective comparative studies are needed. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| DOI: | 10.3390/jpm13010058 |
| Availability: | https://amu.hal.science/hal-03959847; https://amu.hal.science/hal-03959847v1/document; https://amu.hal.science/hal-03959847v1/file/2022%20Stenting%20in%20Brain%20Hemodynamic%20Injury%20of%20Carotid%20Origin.pdf; https://doi.org/10.3390/jpm13010058 |
| Rights: | https://about.hal.science/hal-authorisation-v1/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: | edsbas.AF06EEAF |
| Database: | BASE |