The Effect of Stent Cell Geometry on Carotid Stenting Outcomes

The aim of this study was to investigate the effect of stent cell geometry on midterm results of carotid artery stenting (CAS). One hundred fifty-five patients underwent CAS between February 2010 and December 2012. Ninety-one open- and 84 closed-cell stents were used in this non-randomized, retrospective study. Periprocedural complications were defined as the ones happened during the procedure or within 30 days afterwards. Starting from the 6th month after the procedure, in-stent restenosis was detected with multidetector computed tomography angiography and classified into four groups from focal restenosis to occlusion. Eleven complications were encountered in the periprocedural period (four on the open- and seven on the closed-cell group). Total complication rate was 6.3 % (11/175). No significant difference was detected in terms of periprocedural complications between two groups (p = 0.643). There was statistically significant difference between stent design groups in regard to radiological findings (p = 0.002). Sixteen of open-cell stents and three of closed-cell stents had focal restenosis. One closed-cell stent had diffuse proliferative restenosis and one open-cell stent had total occlusion. In-stent restenosis was more common in open-cell stent group, which have larger free cell area than closed-cell stents. Although our radiologic findings promote us to use closed-cell design if 'possible', no difference was detected in terms of clinical outcomes.

Yazar Alparslan, Burcu
Nas, Omer Fatih
Eritmen, Ulku Turpcu
Duran, Selcen
Ozkaya, Guven
Hakyemez, Bahattin
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3532
Tek Biçim Adres 10.1007/s00270-015-1211-3
Konu Başlıkları Stent cell geometry
Open-cell stent
Closed-cell stent
Free cell area
Midterm results
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
Dergi Cilt Bilgisi 39
Dergi Sayısı 4
Sayfalar 507 - 513
Yayın Yılı 2016
Eser Adı
[dc.title]
The Effect of Stent Cell Geometry on Carotid Stenting Outcomes
Yazar
[dc.contributor.author]
Alparslan, Burcu
Yazar
[dc.contributor.author]
Nas, Omer Fatih
Yazar
[dc.contributor.author]
Eritmen, Ulku Turpcu
Yazar
[dc.contributor.author]
Duran, Selcen
Yazar
[dc.contributor.author]
Ozkaya, Guven
Yazar
[dc.contributor.author]
Hakyemez, Bahattin
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
The aim of this study was to investigate the effect of stent cell geometry on midterm results of carotid artery stenting (CAS). One hundred fifty-five patients underwent CAS between February 2010 and December 2012. Ninety-one open- and 84 closed-cell stents were used in this non-randomized, retrospective study. Periprocedural complications were defined as the ones happened during the procedure or within 30 days afterwards. Starting from the 6th month after the procedure, in-stent restenosis was detected with multidetector computed tomography angiography and classified into four groups from focal restenosis to occlusion. Eleven complications were encountered in the periprocedural period (four on the open- and seven on the closed-cell group). Total complication rate was 6.3 % (11/175). No significant difference was detected in terms of periprocedural complications between two groups (p = 0.643). There was statistically significant difference between stent design groups in regard to radiological findings (p = 0.002). Sixteen of open-cell stents and three of closed-cell stents had focal restenosis. One closed-cell stent had diffuse proliferative restenosis and one open-cell stent had total occlusion. In-stent restenosis was more common in open-cell stent group, which have larger free cell area than closed-cell stents. Although our radiologic findings promote us to use closed-cell design if 'possible', no difference was detected in terms of clinical outcomes.
Açıklama
[dc.description]
WOS: 000371800700003
Açıklama
[dc.description]
PubMed: 26493821
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Stent cell geometry
Konu Başlıkları
[dc.subject]
Open-cell stent
Konu Başlıkları
[dc.subject]
Closed-cell stent
Konu Başlıkları
[dc.subject]
Free cell area
Konu Başlıkları
[dc.subject]
Midterm results
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0174-1551
ISSN
[dc.identifier.issn]
1432-086X
İlk Sayfa Sayısı
[dc.identifier.startpage]
507
Son Sayfa Sayısı
[dc.identifier.endpage]
513
Dergi Adı
[dc.relation.journal]
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
39
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00270-015-1211-3
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3532
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
6
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
07 Şubat 2024 18:16
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Tıklayınız
closed-cell restenosis stents detected difference groups between complications open-cell design findings significant occlusion periprocedural procedure radiological regard statistically (11/175) Sixteen outcomes clinical possible promote radiologic Although larger common In-stent proliferative diffuse complication tomography group) underwent
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