| High-resolution CT and angiographic evaluation of NexStent wall adaptation. | |
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MedLine Citation:
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PMID: 19159971 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Carotid stenting is a minimally invasive treatment for extracranial carotid artery stenosis. Stent design may affect technical success and complications in a certain subgroup of patients. We examined the wall adaptability of a new closed-cell carotid stent (NexStent), which has a unique rolled sheet design. Forty-one patients had 42 carotid arteries treated with angioplasty and stenting for internal carotid artery stenosis. The mean patient age was 65 +/- 10 years. All patients underwent high-resolution computed tomographic angiography after the stent implantation. Data analysis included pre- and postprocedural stenosis, procedure complications, plaque calcification, and stent apposition. We reviewed the angiographic and computed tomographic images for plaque coverage and stent expansion. All procedures were technically successful. Mean stenosis was reduced from 84 +/- 8% before the procedure to 15.7 +/- 7% after stenting. Two patients experienced transient ischemic attack; one patient had bradycardia and hypotension. Stent induced kinking was observed in one case. Good plaque coverage and proper overlapping of the rolled sheet was achieved in all cases. There was weak correlation between the residual stenosis and the amount of calcification. The stent provides adequate expansion and adaptation to the tapering anatomy of the bifurcation. |
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Authors:
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Balázs Nemes; Levente Lukács; György Balázs; Edit Dósa; Viktor Bérczi; Kálmán Hüttl |
Publication Detail:
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Type: Journal Article Date: 2009-01-22 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 32 ISSN: 1432-086X ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-15 Completed Date: 2009-08-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 436-40 Citation Subset: IM |
Affiliation:
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Cardiovascular Center, Semmelweis University, Gaál József u. 9, 1122, Budapest, Hungary. nembal@freemail.hu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography / methods* Angioplasty, Balloon / methods* Carotid Stenosis / radiography*, therapy* Female Humans Male Prosthesis Design Radiographic Image Interpretation, Computer-Assisted Stents* / adverse effects Tomography, X-Ray Computed / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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