Outcomes of 1000 Carotid Wallstent Implantations: Single-Center Experience

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Sonia RoncheyNicola Mangialardi

Abstract

To evaluate the outcomes of carotid artery stenting (CAS) with Wallstents in a single-center experience. From January 2003 to December 2013, 1000 carotid artery lesions were treated with Carotid Wallstents under cerebral protection in 877 patients (mean age 71.7 ± 8 years; 621 men). Indications for treatment were de novo lesions (>70% asymptomatic and >60% symptomatic); stenoses following carotid endarterectomy, radiation, or neck surgery; contralateral laryngeal nerve palsy; and high surgical risk. All the patients underwent duplex ultrasound and clinical evaluation during follow-up; radiography was performed when fracture or stent migration was suggested by ultrasound. Procedure success was achieved in 99.3% of patients. Major and minor 30-day adverse events occurred in 2.1% of patients, including stroke (1.8%: 1.3% minor, 0.5% major), myocardial infarction (0.1%), and death (0.2%). Plaque morphology, nature of stenosis, and symptomatic status were significantly associated with the risk of postoperative neurologic events. Restenosis occurred in 3.2% at a mean 45.5-month follow-up and was significantly associated with diabetes, smoking, symptomatic stenosis, de novo stenosis, and calcification (plaque III/IV). No fracture or m...Continue Reading

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Citations

Dec 28, 2017·Surgical Neurology International·Hiroyuki KatanoMitsuhito Mase
Jun 21, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Pavlos TexakalidisGiuseppe Lanzino
Apr 25, 2017·Vascular·Zhengze Dai, Gelin Xu
Oct 7, 2020·Expert Review of Cardiovascular Therapy·Olesya OsipovaAndrey Karpenko
Sep 2, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefanos GiannopoulosEhrin J Armstrong

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Methods Mentioned

BETA
Percutaneous Angioplasty
dissection

Software Mentioned

EVA
CREST
SPSS

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