Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement
Objective: This study evaluates the correlation between closed, semi-closed and open-cell stent design and the association between stent type and clinical outcome as well as magnetic resonance imaging (MRI) findings. Design: A total of 194 patients who underwent unprotected carotid artery stenting (...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2012
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| _version_ | 1797103683061678080 |
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| author | Grunwald, I Reith, W Karp, K Papanagiotou, P Sievert, H Walter, S Kuehn, A Fassbender, K Krick, C |
| author_facet | Grunwald, I Reith, W Karp, K Papanagiotou, P Sievert, H Walter, S Kuehn, A Fassbender, K Krick, C |
| author_sort | Grunwald, I |
| collection | OXFORD |
| description | Objective: This study evaluates the correlation between closed, semi-closed and open-cell stent design and the association between stent type and clinical outcome as well as magnetic resonance imaging (MRI) findings. Design: A total of 194 patients who underwent unprotected carotid artery stenting (CAS) as well as diffusion-weighted magnetic resonance imaging (DW-MRI) before and after intervention were retrospectively reviewed. Materials and methods: Three stent designs were studied: closed cell, semi-closed cell and open cell. Spearman's Rho test was performed between the stent free cell area and the number and area of ischaemic lesions found after intervention. Adverse events were evaluated. Results: There was no significant difference in clinical outcome between the three stent groups (Zilver, Cook Europe, Denmark; Smart, Codman, MA; and Wallstent, Stryker, MN, USA). A significant correlation was found between the stent free cell area and the number and area of new ischaemic lesions on DW-MRI (P = 0.023). There were significantly fewer new lesions with an open-cell design (Zilver; 12.76 mm 2 free cell area) than with a closed-cell design (Wallstent; 1.08 mm 2 free cell area). Conclusions: Open-cell stent was related to a lower number and area of silent cerebral ischaemic lesions after unprotected CAS. However, clinical outcome, measured by incidence of adverse events and clinical neurologic assessment, was not significantly different between patients with different stent designs. © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
| first_indexed | 2024-03-07T06:23:35Z |
| format | Journal article |
| id | oxford-uuid:f37f1846-d96c-47e4-8ba3-ebd06aaa5767 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:23:35Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:f37f1846-d96c-47e4-8ba3-ebd06aaa57672022-03-27T12:12:37ZComparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent PlacementJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f37f1846-d96c-47e4-8ba3-ebd06aaa5767EnglishSymplectic Elements at Oxford2012Grunwald, IReith, WKarp, KPapanagiotou, PSievert, HWalter, SKuehn, AFassbender, KKrick, CObjective: This study evaluates the correlation between closed, semi-closed and open-cell stent design and the association between stent type and clinical outcome as well as magnetic resonance imaging (MRI) findings. Design: A total of 194 patients who underwent unprotected carotid artery stenting (CAS) as well as diffusion-weighted magnetic resonance imaging (DW-MRI) before and after intervention were retrospectively reviewed. Materials and methods: Three stent designs were studied: closed cell, semi-closed cell and open cell. Spearman's Rho test was performed between the stent free cell area and the number and area of ischaemic lesions found after intervention. Adverse events were evaluated. Results: There was no significant difference in clinical outcome between the three stent groups (Zilver, Cook Europe, Denmark; Smart, Codman, MA; and Wallstent, Stryker, MN, USA). A significant correlation was found between the stent free cell area and the number and area of new ischaemic lesions on DW-MRI (P = 0.023). There were significantly fewer new lesions with an open-cell design (Zilver; 12.76 mm 2 free cell area) than with a closed-cell design (Wallstent; 1.08 mm 2 free cell area). Conclusions: Open-cell stent was related to a lower number and area of silent cerebral ischaemic lesions after unprotected CAS. However, clinical outcome, measured by incidence of adverse events and clinical neurologic assessment, was not significantly different between patients with different stent designs. © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
| spellingShingle | Grunwald, I Reith, W Karp, K Papanagiotou, P Sievert, H Walter, S Kuehn, A Fassbender, K Krick, C Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title | Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title_full | Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title_fullStr | Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title_full_unstemmed | Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title_short | Comparison of Stent Free Cell Area and Cerebral Lesions after Unprotected Carotid Artery Stent Placement |
| title_sort | comparison of stent free cell area and cerebral lesions after unprotected carotid artery stent placement |
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