Investigating the Frequency of Stent Fracture and its Impact on in-Stent Restenosis in Patients Undergoing Carotid Artery Stenting

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Tarih

23.10.2024

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Galenos Yayınevi

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: This single-center study aimed to assess the incidence and predictors of carotid artery Xact stent fractures (SF) and their impact on in-stent restenosis (ISR) during long-term follow-up. Methods: A cohort of 108 patients (97 males, median age 69.4±8 months) who underwent Xact stent placement for internal carotid artery stenosis between 2013 and 2021 and were diagnosed with SFs through fluoroscopy in 2022 were included. SFs were categorized as types I-V based on fracture characteristics. Follow-up included duplex ultrasound examinations to assess stent patency. Results: The average follow-up duration was 49.2±24.3 months, with ISR observed in 10 patients. Twenty-three SFs (21.3%) were identified: type I (5 patients), type II (7 patients), type III (3 patients), type IV (6 patients), and type V (2 patients). Calcification and stent length significantly predicted SFs (p<0.001; p<0.028). Conclusion: Calcification and stent length are associated with Xact SFs, but SFs do not impact ISR during long-term followup.

Açıklama

Anahtar Kelimeler

Internal carotid artery, Xact stents, stent fracture, in- stent restenosis

Kaynak

Bezmiâlem Science

WoS Q Değeri

Scopus Q Değeri

Cilt

12

Sayı

3

Künye

ALTUNOVA, M., YALCIN, A. A., IŞIK, A., PISKIN, F. C., UZUN, N., SAHIN, A., DEMIR, Y., ATMACA, S., DEMIRCI, G., ERTURK, M. (2024). Investigating the Frequency of Stent Fracture and its Impact on in-Stent Restenosis in Patients Undergoing Carotid Artery Stenting. Bezmiâlem Science , 12(3), 374 - 381. doi.org/10.14235/bas.galenos.2024.68736