CardioVascular and Interventional Radiology

, Volume 39, Issue 11, pp 1541–1549

Incidence of New Ischaemic Brain Lesions After Carotid Artery Stenting with the Micromesh Roadsaver Carotid Artery Stent: A Prospective Single-Centre Study

  • Maria Antonella Ruffino
  • Riccardo Faletti
  • Laura Bergamasco
  • Paolo Fonio
  • Dorico Righi
Clinical Investigation

Abstract

Aims

Several randomized trials of patients with carotid stenosis show increased adverse neurological events with stenting versus endarterectomy in the 30-day post-procedure. This study examines the incidence of new ischaemic lesions in patients treated in our centre using the new Roadsaver stent.

Methods and results

Between September 2015 and January 2016, 23 consecutive patients (age 74.3 ± 7.3 years, 17.4 % female) underwent carotid artery stenting with the Roadsaver stent, a nitinol double-layer micromesh device. A distal protection device was used in all cases. Diffusion-weighted magnetic resonance imaging was performed 24 h before, and 24 h and 30 days after the procedure. The 24-h post-procedure imaging showed 15 new ipsilateral ischaemic lesions in 7 (30.4 %) patients: median volume 0.076 cm3 (interquartile range 0.065–0.146 cm3). All lesions were asymptomatic. The 30-day imaging showed complete resolution of all lesions and no new ischaemic lesions. Follow-up clinical and ultrasound examinations at 30 days and 6 months recorded no adverse cardiac or cerebrovascular events.

Conclusions

Protected stenting with micromesh Roadsaver stent showed good safety and efficacy in the treatment of carotid stenosis, with a low incidence of delayed embolic events and new ipsilateral ischaemic brain lesions. These preliminary results are encouraging, but need to be confirmed with larger populations.

Keywords

Internal carotid artery stenosis Carotid stenting Micromesh stent Embolic protection Diffusion-weighted magnetic resonance Ischaemic brain lesions 

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016

Authors and Affiliations

  1. 1.Vascular Radiology Unit, Department of Diagnostic Imaging and RadiotherapyAzienda Ospedaliera Universitaria- Città della Salute e della Scienza di Torino, San Giovanni Battista HospitalTurinItaly
  2. 2.Radiology Unit, Department of Surgical SciencesUniversity of Torino, Azienda Ospedaliera Universitaria- Città della Salute e della Scienza di Torino, San Giovanni Battista HospitalTurinItaly
  3. 3.Department of Surgical SciencesUniversity of Torino, Azienda Ospedaliera Universitaria- Città della Salute e della Scienza di Torino, San Giovanni Battista HospitalTurinItaly

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