Cargando…
Carotid Artery Stenting Using a Double-layer Micromesh Stent
Carotid artery stenting (CAS) has recently emerged as a potential alternative to carotid endarterectomy (CEA) in Japan. However, one of its disadvantages is the higher incidence of ischemic complications than CEA, such as distal embolism during or after the procedure. Plaque protrusion (PP) through...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society for Neuroendovascular Therapy
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370536/ https://www.ncbi.nlm.nih.gov/pubmed/37502654 http://dx.doi.org/10.5797/jnet.ra.2020-0066 |
_version_ | 1785077954525528064 |
---|---|
author | Yamada, Kiyofumi Yoshimura, Shinichi Yoshida, Kazumichi Uchida, Kazutaka Shirakawa, Manabu Kawasaki, Masanori Miura, Masatomo Ishii, Akira Kataoka, Hiroharu Miyamoto, Susumu |
author_facet | Yamada, Kiyofumi Yoshimura, Shinichi Yoshida, Kazumichi Uchida, Kazutaka Shirakawa, Manabu Kawasaki, Masanori Miura, Masatomo Ishii, Akira Kataoka, Hiroharu Miyamoto, Susumu |
author_sort | Yamada, Kiyofumi |
collection | PubMed |
description | Carotid artery stenting (CAS) has recently emerged as a potential alternative to carotid endarterectomy (CEA) in Japan. However, one of its disadvantages is the higher incidence of ischemic complications than CEA, such as distal embolism during or after the procedure. Plaque protrusion (PP) through the stent strut after deployment of the stent has been suggested as one of the major causes of distal embolism, especially in patients with unstable plaques. The need for increased plaque coverage to reduce the risk of PP through the stent struts has led to the development of a double-layer micromesh stent (micromesh stent) system. This stent system has already been used clinically in European countries with good short- to medium-term follow-up results. Also clinical trials evaluating micromesh stents have been completed in Japan. Hence, usefulness of the micromesh stent for CAS is expected. According to the results of several clinical studies, CAS with the double-layer micromesh stent has the potential to minimize distal embolism during or after the procedure even in patients with unstable plaques. However, it may not be suitable for emergency CAS at this point. Also, since results of only short- to medium-term follow-up have been reported, longer-term follow-up will be required in the near future. |
format | Online Article Text |
id | pubmed-10370536 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society for Neuroendovascular Therapy |
record_format | MEDLINE/PubMed |
spelling | pubmed-103705362023-07-27 Carotid Artery Stenting Using a Double-layer Micromesh Stent Yamada, Kiyofumi Yoshimura, Shinichi Yoshida, Kazumichi Uchida, Kazutaka Shirakawa, Manabu Kawasaki, Masanori Miura, Masatomo Ishii, Akira Kataoka, Hiroharu Miyamoto, Susumu J Neuroendovasc Ther Review Article Carotid artery stenting (CAS) has recently emerged as a potential alternative to carotid endarterectomy (CEA) in Japan. However, one of its disadvantages is the higher incidence of ischemic complications than CEA, such as distal embolism during or after the procedure. Plaque protrusion (PP) through the stent strut after deployment of the stent has been suggested as one of the major causes of distal embolism, especially in patients with unstable plaques. The need for increased plaque coverage to reduce the risk of PP through the stent struts has led to the development of a double-layer micromesh stent (micromesh stent) system. This stent system has already been used clinically in European countries with good short- to medium-term follow-up results. Also clinical trials evaluating micromesh stents have been completed in Japan. Hence, usefulness of the micromesh stent for CAS is expected. According to the results of several clinical studies, CAS with the double-layer micromesh stent has the potential to minimize distal embolism during or after the procedure even in patients with unstable plaques. However, it may not be suitable for emergency CAS at this point. Also, since results of only short- to medium-term follow-up have been reported, longer-term follow-up will be required in the near future. The Japanese Society for Neuroendovascular Therapy 2020-07-21 2020 /pmc/articles/PMC10370536/ /pubmed/37502654 http://dx.doi.org/10.5797/jnet.ra.2020-0066 Text en ©2020 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Review Article Yamada, Kiyofumi Yoshimura, Shinichi Yoshida, Kazumichi Uchida, Kazutaka Shirakawa, Manabu Kawasaki, Masanori Miura, Masatomo Ishii, Akira Kataoka, Hiroharu Miyamoto, Susumu Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title | Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title_full | Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title_fullStr | Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title_full_unstemmed | Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title_short | Carotid Artery Stenting Using a Double-layer Micromesh Stent |
title_sort | carotid artery stenting using a double-layer micromesh stent |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370536/ https://www.ncbi.nlm.nih.gov/pubmed/37502654 http://dx.doi.org/10.5797/jnet.ra.2020-0066 |
work_keys_str_mv | AT yamadakiyofumi carotidarterystentingusingadoublelayermicromeshstent AT yoshimurashinichi carotidarterystentingusingadoublelayermicromeshstent AT yoshidakazumichi carotidarterystentingusingadoublelayermicromeshstent AT uchidakazutaka carotidarterystentingusingadoublelayermicromeshstent AT shirakawamanabu carotidarterystentingusingadoublelayermicromeshstent AT kawasakimasanori carotidarterystentingusingadoublelayermicromeshstent AT miuramasatomo carotidarterystentingusingadoublelayermicromeshstent AT ishiiakira carotidarterystentingusingadoublelayermicromeshstent AT kataokahiroharu carotidarterystentingusingadoublelayermicromeshstent AT miyamotosusumu carotidarterystentingusingadoublelayermicromeshstent |