Document Detail


Initial experience of carotid artery stenting using the Carotid WALLSTENT and FilterWire EZ in Japan.
MedLine Citation:
PMID:  21264662     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: The Carotid WALLSTENT (CWS) and Filter-Wire EZ (FWEZ) embolic protection devices for use in carotid arterial stenting (CAS) were newly approved for national health insurance coverage in Japan in April 2010. This article describes our initial experience of CAS using the CWS and FWEZ.
MATERIAL AND METHODS: A group of 14 patients (12 men, 2 women; mean age 70.1 years, range 59-83 years) with 15 carotid artery stenoses at high risk for carotid endarterectomy were treated by CAS using the CWS and FWEZ. Of these stenoses, 5 were symptomatic with ≥50% stenosis of the common or internal carotid artery (ICA), and 10 were asymptomatic with ≥80% stenosis. The rates of technical success, ICA flow impairment during filter protection, periprocedural ischemic stroke, 30-day major adverse events (MAEs) (stroke, death, myocardial infarction), and development of new ischemic lesions on diffusion-weighted imaging (DWI) were assessed.
RESULTS: CAS was successful in all cases. There was no ICA flow impairment, periprocedural ischemic stroke, or MAEs. DWI showed new ipsilateral ischemic lesions in only one patient (6.7%).
CONCLUSION: Our initial clinical experience using the CWS and FEWZ for CAS was generally excellent, and the incidence of postprocedural ischemic lesions was low.
Authors:
Katsutoshi Takayama; Toshiaki Taoka; Hiroyuki Nakagawa; Kaoru Myouchin; Takeshi Wada; Toshiteru Miyasaka; Masahiko Sakamoto; Akio Fukusumi; Satoru Iwasaki; Ryota Kimura; Shinichiro Kurokawa; Kimihiko Kichikawa
Publication Detail:
Type:  Journal Article     Date:  2011-01-26
Journal Detail:
Title:  Japanese journal of radiology     Volume:  29     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  51-8     Citation Subset:  IM    
Affiliation:
Department of Radiology and Interventional Neuroradiology, Ishinkai Yao General Hospital, 1-41 Numa, Yao, 581-0036, Japan, takayamaneuroivs@par.odn.ne.jp.
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