Author + information
The individual characteristics of a stent may make it an attractive choice in one circumstance but render it a less desirable option in other situations, the number of carotid stents on the market rose steeply, resulting in the plentiful availability of today. This wide variety of carotid stents can sometimes make the choice of stent to treat a specific carotid lesion a difficult quest.
Patients and Methods
We studied thirty consecutive patients in a prospective randomized comparative study including 7 asymptomatic & 23 symptomatic patients from four Egyptian centers (Ainshams university hospital, National heart Institute, Nasseer Institute, Cairo-cath center) who underwent carotid artery stenting for a soft plaque with either closed-cell ( n = 10 (33%)), or open-cell (n = 20 (66%)) design stents from the period from august 2008 to march 2010, follow up for 30 days and diffusion weighted MRI was done for patients post-procedure within 48 hours.
In this study there were only two cases out of the 20 cases of open cell group that experienced TIA post carotid stenting and there were no cases from the closed cell group (Carotid Wallstent Monorail®) out of the 10 cases group experienced any complication.
In our study, it showed that closed stent cell design demonstrated statistically nonsignificant less complication at 30-days compared to open stent cell design.
- 2013 American College of Cardiology Foundation