Evaluation of the association between silent ischemic lesions and stent design in carotid stenting applications

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dc.authorid0000-0002-5308-4653en_US
dc.authorid0000-0002-3317-9567en_US
dc.contributor.authorYabalak, Ahmet
dc.contributor.authorYılmaz, Murat
dc.date.accessioned2023-08-15T09:01:48Z
dc.date.available2023-08-15T09:01:48Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractOBJECTIVE: 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.en_US
dc.identifier.citationAhmet, 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.en_US
dc.identifier.doi10.1590/1806-9282.20221437
dc.identifier.endpage7en_US
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue5en_US
dc.identifier.pmid37222323en_US
dc.identifier.scopus2-s2.0-85159966855en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.1590/1806-9282.20221437
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11523
dc.identifier.volume69en_US
dc.identifier.wosWOS:000996240300003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYılmaz, Murat
dc.language.isoenen_US
dc.publisherAssoc Medica Brasileiraen_US
dc.relation.ispartofRevista da Associacao Medica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmbolismen_US
dc.subjectCarotid Stenosisen_US
dc.subjectDiffusion MRIen_US
dc.subjectStenten_US
dc.subjectStrokeen_US
dc.subjectClosed-Cell Stentsen_US
dc.titleEvaluation of the association between silent ischemic lesions and stent design in carotid stenting applicationsen_US
dc.typeArticleen_US

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