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Regional variation in patient selection, practice patterns, and outcomes based on techniques for carotid artery revascularization in the Vascular Quality Initiative.
J Vasc Surg
September 2023
Division of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN. Electronic address:
Objective: Significant regional variation is known with multiple surgical procedures. This study describes regional variation in carotid revascularization within the Vascular Quality Initiative (VQI).
Methods: Data from the VQI carotid endarterectomy (CEA) and carotid artery stenting (CAS) databases from 2016 to 2021 were used.
Evaluation of the self-expanding effect of carotid stents in the early postoperative period.
Vascular
June 2024
University of Health Sciences, Diskapi Training and Research Hospital, Department of Radiology, Ankara, Turkey.
Purpose: To evaluate the expansion effect of self-expandable stents during the first week after carotid artery stenting (CAS) procedure and to examine the variation of the effect according to the carotid plaque type.
Methods: Seventy stenotic carotid arteries of 69 patients were stented by using self-expanding Wallstents with diameters of 7 and 9 mm, after detection of stenosis and plaque type by Doppler ultrasonography. Post-stent aggressive ballooning was avoided and residual stenosis rates were measured with digital subtraction angiography.
Poststent ballooning during transcarotid artery revascularization.
J Vasc Surg
June 2021
Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, Calif. Electronic address:
Background: Poststent ballooning/angioplasty (post-SB) have been shown to increase the risk of stroke risk after transfemoral carotid artery stenting. With the advancement of transcarotid artery revascularization (TCAR) with dynamic cerebral blood flow reversal, we aimed to study the impact of post-SB during TCAR.
Methods: Patients undergoing TCAR in the Vascular Quality Initiative between September 2016 and May 2019 were included and were divided into three groups: those who received prestent deployment angioplasty only (pre-SB, reference group), those who received poststent deployment ballooning only (post-SB), and those who received both prestent and poststent deployment ballooning (prepost-SB).
Predictors of midterm high-grade restenosis after carotid revascularization in a multicenter national database.
J Vasc Surg
June 2020
Division of Vascular and Endovascular Surgery, University of California San Diego, La Jolla, Calif. Electronic address:
Background: Restenosis after carotid revascularization is clinically challenging. Several studies have looked into the management of recurrent restenosis; however, studies looking into factors associated with restenosis are limited. This study evaluated the predictors of restenosis after carotid artery stenting (CAS) and carotid endarterectomy (CEA) using a large national database.
View Article and Find Full Text PDFPredictors and Long-Term Clinical Outcome of Longitudinal Stent Deformation: Insights From Pooled Analysis of Korean Multicenter Drug-Eluting Stent Cohort.
Circ Cardiovasc Interv
November 2017
From the Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Republic of Korea (T.-M.R., K.W.P., H.-J.K., B.-K.K., H.-S.K.); Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Republic of Korea (J.M.L.); Division of Cardiology, UCLA Medical Center, Los Angeles, CA (M.S.L.); Sejong Heart Institute, Sejong General Hospital, Bucheon, Republic of Korea (K.-H.J.); Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Republic of Korea (J.Y.R.); Department of Internal Medicine, Busan National University Hospital, Republic of Korea (K.S.C.); Department of Internal Medicine, Konyang University Hospital, Daejeon, Republic of Korea (J.-H.B.); Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Republic of Korea (K.-R.H.); Department of Internal Medicine, Ewha Woman's University Mokdong Hospital, Seoul, Republic of Korea (S.-H.P.); Department of Internal Medicine, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea (W.-J.P); Department of Internal Medicine, Korea University Guro Hospital, Seoul, Republic of Korea (S.-W.R.); Department of Internal Medicine, Wonkwang University Hospital, Iksan, Republic of Korea (S.-K.O.); Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea (H.M.K.); Department of Internal Medicine, The Catholic University of Korea, Seoul, Republic of Korea (K.-B.S.); Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Republic of Korea (T.A.); and Department of Internal Medicine, Boramae Medical Center, Seoul, Republic of Korea (S.-H.K.).
Article Synopsis
- The study investigates the occurrence and predictors of longitudinal stent deformation (LSD) in patients using different types of drug-eluting stents, finding an incidence of 1.12%.
- LSD is primarily linked to procedural factors rather than the type of stent, with specific procedures like additional interventions and intravascular ultrasound increasing the risk.
- Although lesions with LSD showed slightly higher rates of target lesion failure, the overall clinical impact of LSD remains unclear and requires further research.
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