Evaluation of the association between silent ischemic lesions and stent design in carotid stenting applications
Yükleniyor...
Dosyalar
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Assoc Medica Brasileira
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
OBJECTIVE: Minor ischemic events and silent ischemic lesions are more common in carotid stenting than in endarterectomy. These silent ischemic lesions are also associated with stroke risk and cognitive impairment, so it is important to understand the factors that increase the risk and develop strategies to reduce the risk. We aimed to evaluate the association between carotid stent design and silent ischemic lesion development.METHODS: The files of the patients who underwent carotid stenting between January 2020 and April 2022 were scanned. Patients with diffusion MR images taken within the postoperative 24 h were included in the study, while those undergoing acute stent placement were excluded. The patients were divided into two groups: those with open-cell stents and those with closed-cell stents.RESULTS: A total of 65 patients, including 39 patients undergoing open-cell stenting and 26 patients undergoing closed-cell stenting, were included in the study. There was no significant difference in demographic data and vascular risk factors between the groups. New ischemic lesions were detected in 29 (74.4%) patients in the open-cell stent group and 10 (38.4%) patients in the closed-cell stent group and were significantly higher in the open-cell group. There was no significant difference between the two groups in terms of major and minor ischemic events and stent restenosis at the 3-month follow-up.CONCLUSION: The rate of new ischemic lesion development was found to be significantly higher in carotid stent procedures performed with an open-cell Protege stent than in those performed with a closed-cell Wallstent stent.
Açıklama
Anahtar Kelimeler
Embolism, Carotid Stenosis, Diffusion MRI, Stent, Stroke, Closed-Cell Stents
Kaynak
Revista da Associacao Medica Brasileira
WoS Q Değeri
Q2
Scopus Q Değeri
Q3
Cilt
69
Sayı
5
Künye
Ahmet, Y., & Murat, Y. (2023). Evaluation of the association between silent ischemic lesions and stent design in carotid stenting applications. Revista da Associação Médica Brasileira, 69, e20221437.
