Document Detail


High-resolution CT and angiographic evaluation of NexStent wall adaptation.
MedLine Citation:
PMID:  19159971     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Balázs Nemes; Levente Lukács; György Balázs; Edit Dósa; Viktor Bérczi; Kálmán Hüttl
Publication Detail:
Type:  Journal Article     Date:  2009-01-22
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  32     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  436-40     Citation Subset:  IM    
Affiliation:
Cardiovascular Center, Semmelweis University, Gaál József u. 9, 1122, Budapest, Hungary. nembal@freemail.hu
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MeSH Terms
Descriptor/Qualifier:
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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