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Carotid Artery Geometry Modifications and Clinical Implications after Carotid Artery Stenting. | LitMetric

AI Article Synopsis

  • - The study evaluated the geometrical effects of three different carotid stents on the carotid bifurcation in patients who underwent carotid artery stenting (CAS), revealing variations in anatomical changes after stent placement.
  • - A total of 226 patients were analyzed, showing the Roadsaver stent resulted in a greater change in the angle between common carotid artery (CCA) and internal carotid artery (ICA) compared to the other two stents, but this did not significantly affect the rate of restenosis.
  • - Overall, the Roadsaver stent's lower adaptability to the carotid vascular area suggests it might cause more pronounced angulations post-implantation, while the Carotid Wallstent and C

Article Abstract

Background: Carotid artery stenting (CAS) could lead to a modification of the carotid bifurcation geometry with possible clinical implications. This study aimed to clarify the geometrical impact of three carotid stents with different designs on the carotid bifurcation and its clinical consequences.

Methods: This was a retrospective single-center study. We included all patients who underwent CAS in a 3-year period. Anatomical changes of the carotid bifurcation were evaluated by reviewing angiographic images. The population was divided into three groups based on the stent implanted: Group 1 (Carotid Wallstent), Group 2 (Roadsaver), and Group 3 (C-Guard).

Results: A total of 226 patients were included. The mean age was 77.0 ± 7.4 years and 72.5% (164/226) were male. Three different stents were implanted into three groups: Group 1 ( = 131/226, 58%), Group 2 ( = 57/226, 25.2%), and Group 3 ( = 38/226, 16.8%). The mean pre-stent implantation CCA-ICA angle of the entire population was 155 ± 14.9°, and the post-CAS angle was 167.7 ± 8.7° ( = 0.0001). In every subgroup, the difference was statistically different, with the biggest difference registered in Group 2 (-16.1 ± 13.2°). Regarding stent oversizing, there was a significant relationship between CCA oversizing and CCA-ICA angle modification ( = 0.006). During follow-up, a total of 14 (6.2%) restenoses were registered. The mean CCA-ICA angle modification in the restenosis group was -9.5 ± 14.4° vs. -12.8 ± 11.9° in the no-restenosis group with no significant statistical differences were outlined ( = 0.3).

Conclusions: Compared to the Carotid Wallstent and C-Guard, the Roadsaver stent appears to have a lower adaptability to the carotid vascular territory, resulting in a higher CCA-ICA angle modification after implantation, with no impact on the stent restenosis rate.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595456PMC
http://dx.doi.org/10.3390/jpm14111091DOI Listing

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