AI Article Synopsis
- Both open and closed loop self-expandable stents were assessed for their effectiveness in carotid artery stenting (CAS) for carotid bifurcation stenosis among 212 patients.
- The analysis showed no significant differences in hospitalization time, NIHSS scores, stenosis after 12 months, or primary endpoint events between the two types of stents.
- However, notable differences were found in hemodynamic changes and the ease of recycling distal filtration protection devices, with open loop stents leading to more hemodynamic changes but fewer difficulties in recycling devices.
Article Abstract
Both open and closed loop self-expandable stents were used in carotid artery stenting (CAS) for carotid bifurcation stenosis. We sought to compare the efficacy of two types of stents in CAS. The data of 212 patients treated with CAS (42 and 170 cases implanted with closed and open loop stents, respectively) for carotid bifurcation stenosis and distal filtration protection devices were retrospectively analyzed. Between closed and open loop stents, there were no significant differences in hospitalization duration, NIHSS score before and after the treatment, stenosis at 12th month, and cumulative incidence of primary endpoint events within 30 days or from the 31st day to the 12th month; while there were significant differences in hemodynamic changes and rate of difficulty in recycling distal filtration protection devices. Use of open vs. closed loop stents for carotid bifurcation stenosis seems to be associated with similar incidence of complications, except for greater rate of hemodynamic changes and lower rate of difficulty in recycling the distal filtration protection devices.
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| http://dx.doi.org/10.1007/s11596-016-1548-0 | DOI Listing |
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