الفهرس | Only 14 pages are availabe for public view |
Abstract Thorough knowledge of the characteristics, advantages and disadvantages, and working principles of the different available stents is mandatory to optimally select the materials to be used for patients eligible for carotid revascularization. Thus, the aim of the current study was to evaluate the safety and efficacy of closed cell stent design in carotid artery stenosis. The current study included 40 patients on whom carotid artery stenting was done. They were divided into two main groups, group I included 20 patients subjected to open-cell stent and group II included 20 patients subjected to closed-cell stent. They all were subjected to clinical examination and history for neurological findings, ECG per and post intervention, and carotid Duplex. Results of The current Study can be summarized as followings: 1. Both open and closed cell stents were successfully implanted and filters used were successfully positioned. 2. The incidence of combined complications wheather death, stroke or myocardial infarction were statistically higher in open cell stents compared to closed cell stents. 3. In addition, intraprocedural side effects were statistically lower in closed stent group especially hypotension, bradycardia, and external carotid occlusion. 4. Neurological deficits mainly major ipsilateral and minor contralateral deficits were statistically higher in group I (open cell stent). 5. In closed cell stent group the complications were observed more in cases with ulcerting lesions and also long lesions |