The use of covered stents for the endovascular treatment of extracranial internal carotid artery stenosis

A prospective study with a 5-year follow-up

Alex Szólics, László K. Sztriha, Péter Szikra, Mikĺs Sźlics, András Palḱ, E. Vörös

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: To evaluate the safety and feasibility of the use of covered stents for the treatment of extracranial carotid artery stenosis caused by highly embologenic plaques, and to study the long-term outcome of patients receiving such covered stents. Methods: Between 2002 and 2007, 46 patients (63% symptomatic, 78.3% male, 67± 8.6 years old) with internal carotid artery stenosis caused by embologenic plaques or restenosis were treated with self-expanding covered stents (Symbiot, Boston Scientific). Pre-dilatation or protecting devices were not used. Post-dilatation was applied in every patient. Each patient was followed long-term. The outcome measures were the occurrence of neurological events, and the development of in-stent restenosis, as detected by clinical examination and duplex ultrasound. Results: The technical success rate of stenting was 100%. There were no neurological complications in the peri-procedural period. The mean follow-up period was 34.3±27.7 months (the rate of patients lost to follow-up was 15.2%) during which no stroke or strokerelated deaths occurred. Restenosis was detected in 3 patients (6.5%). Conclusion: Covered stents provide efficient peri- and post-procedural protection against neurological complications due to embolisation from high-risk plaques during carotid artery stenting. Restenosis of covered stents appears to be infrequent during longterm follow-up.

Original languageEnglish
Pages (from-to)1772-1776
Number of pages5
JournalEuropean Radiology
Volume20
Issue number7
DOIs
Publication statusPublished - Jul 2010

Fingerprint

Carotid Stenosis
Stents
Prospective Studies
Dilatation
Therapeutics
Lost to Follow-Up
Stroke
Outcome Assessment (Health Care)
Safety
Equipment and Supplies

Keywords

  • Carotid artery stenting
  • Covered stent
  • Embolisation
  • Long-term followup
  • Stroke prevention

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

The use of covered stents for the endovascular treatment of extracranial internal carotid artery stenosis : A prospective study with a 5-year follow-up. / Szólics, Alex; Sztriha, László K.; Szikra, Péter; Sźlics, Mikĺs; Palḱ, András; Vörös, E.

In: European Radiology, Vol. 20, No. 7, 07.2010, p. 1772-1776.

Research output: Contribution to journalArticle

Szólics, Alex ; Sztriha, László K. ; Szikra, Péter ; Sźlics, Mikĺs ; Palḱ, András ; Vörös, E. / The use of covered stents for the endovascular treatment of extracranial internal carotid artery stenosis : A prospective study with a 5-year follow-up. In: European Radiology. 2010 ; Vol. 20, No. 7. pp. 1772-1776.
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