What should be the Optimal Carotid Stent Opening Rate Without Post-Dilation?
| Autor: | Ayhan Kup, Fatih Yılmaz, Mehmet Vefik Yazıcıoğlu, Müslüm Şahin, Nuri Havan, Muhammed Keskin, Mustafa Ozan Gürsoy, Sinan Cerşit, Hayati Eren, Abdulkadir Uslu, Atilla Koyuncu, Mehmet Muhsin Türkmen, Lütfi Öcal, Mehmet Celik |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Carotid arteries 03 medical and health sciences 0302 clinical medicine Risk Factors Carotid artery disease medicine Humans In patient Carotid Stenosis Registries Aged Retrospective Studies business.industry Rehabilitation Significant difference Stent Middle Aged medicine.disease Surgery Log-rank test Stroke Treatment Outcome Ischemic Attack Transient Female Stents Neurology (clinical) Carotid stenting Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery Carotid stent Angioplasty Balloon |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 29(10) |
| ISSN: | 1532-8511 |
| Popis: | There is not a widely accepted optimal rate of stent opening in patients underwent carotid artery stenting. In this study we evaluated the effect of carotid stent opening rate (CSOR) without performing post-dilation on in-hospital and long-term outcomes.A total of 825 patient patients underwent carotid artery stenting without post-dilation enrolled to the study. The patients divided into two groups according to their final CSOR (50% ≤ Post-stent deployment (SD)80% and 80% ≤ Post-SD ≤ 100%). In-hospital and 3-year outcomes were compared between the groups.During hospitalization, the rate of ipsilateral stroke, major stroke and transient ischemic attacks were similar between the groups (respectively; 6.2% vs. 4.1, P = 0.190; 1.5% vs. 1.8, P = 0.811; 1.5% vs. 1.9%, P = 0.683). The 3-year Kaplan-Meier overall survival rates for the first and second groups were 87.6% and 84.4%, respectively (log rank test P = 0.426). The 3-year Kaplan-Meier overall cumulative ipsilateral stroke rates for the first and second groups were 88.0% and 88.6%, respectively (log rank test P = 0.409) CONCLUSION: Our study demonstrated that a CSOR higher than 50% without performing a post-dilation might be an effective therapeutic approach since there was not a significant difference regarding outcomes between the patients with a 50% ≤ Post-SD80% and 80% ≤ Post-SD ≤ 100%. The need for post-stent balloon dilation might have been eliminated due to subsequent stent self-expansion. |
| Databáze: | OpenAIRE |
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