Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study
The effect of stent design whether single-layer or double-layer on long-term durability of carotid artery stenting (CAS) is unknown. The aim of this article was to compare the clinical outcome and efficacy of single-layer versus dual-layer mesh stent for CAS among carotid stenosis patients. A prospe...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-12-01
|
| Series: | Journal of Clinical Interventional Radiology ISVIR |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759799 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850218069777973248 |
|---|---|
| author | Vemireddy Pradeep Kumar Reddy Navin M. Mulimani |
| author_facet | Vemireddy Pradeep Kumar Reddy Navin M. Mulimani |
| author_sort | Vemireddy Pradeep Kumar Reddy |
| collection | DOAJ |
| description | The effect of stent design whether single-layer or double-layer on long-term durability of carotid artery stenting (CAS) is unknown. The aim of this article was to compare the clinical outcome and efficacy of single-layer versus dual-layer mesh stent for CAS among carotid stenosis patients. A prospective observational study was conducted among 41 consecutive patients, who underwent CAS procedures between November 2019 and November 2021. Procedural data and outcomes for patients treated with the single-layer stent (n = 19patients) and double-layer stent (n = 22) were compared. Procedural efficacy and complications were considered as primary outcome variable. SPSS version 22 was used for statistical analysis. Mean age of study population in dual-layer stents group was 63.86 ± 11.08 years and it was 61.47 ± 8.26 years in single-layer stent group. There was no statistically significant difference between two groups with age, stenosis, side of stenosis, prestenting angioplasty, and poststenting angioplasty (p-value >0.05). Out of 22 participants with dual-layer stent, only one (4.5%) participant experienced five episodes of transient ischemic attack in last 1 month. Both clinical and associated complaints were more in dual-layer group compared with single layer. One (5.26%) participant in single-layer group had reclusion/restenosis at 30 days. Majority in single-(57.8%) and double-layer (63.64%) stents group showed modified Rankin Scale score of 0. Restenosis after CAS occurred less frequently in patients treated with double-layer mesh when compared with single-layer stent. However, both stents were equally effective at preventing peri procedural complications. |
| format | Article |
| id | doaj-art-3041dd68992b4e038be26001fa159a9c |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-3041dd68992b4e038be26001fa159a9c2025-08-20T02:07:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692023-12-01070315315810.1055/s-0042-1759799Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational StudyVemireddy Pradeep Kumar Reddy0Navin M. Mulimani1Department of Interventional Radiology, Dr KLEs Prabhakar Kore Hospital & MRC, Belagavi, Karnataka, IndiaDepartment of Interventional Radiology, Dr KLEs Prabhakar Kore Hospital & MRC, Belagavi, Karnataka, IndiaThe effect of stent design whether single-layer or double-layer on long-term durability of carotid artery stenting (CAS) is unknown. The aim of this article was to compare the clinical outcome and efficacy of single-layer versus dual-layer mesh stent for CAS among carotid stenosis patients. A prospective observational study was conducted among 41 consecutive patients, who underwent CAS procedures between November 2019 and November 2021. Procedural data and outcomes for patients treated with the single-layer stent (n = 19patients) and double-layer stent (n = 22) were compared. Procedural efficacy and complications were considered as primary outcome variable. SPSS version 22 was used for statistical analysis. Mean age of study population in dual-layer stents group was 63.86 ± 11.08 years and it was 61.47 ± 8.26 years in single-layer stent group. There was no statistically significant difference between two groups with age, stenosis, side of stenosis, prestenting angioplasty, and poststenting angioplasty (p-value >0.05). Out of 22 participants with dual-layer stent, only one (4.5%) participant experienced five episodes of transient ischemic attack in last 1 month. Both clinical and associated complaints were more in dual-layer group compared with single layer. One (5.26%) participant in single-layer group had reclusion/restenosis at 30 days. Majority in single-(57.8%) and double-layer (63.64%) stents group showed modified Rankin Scale score of 0. Restenosis after CAS occurred less frequently in patients treated with double-layer mesh when compared with single-layer stent. However, both stents were equally effective at preventing peri procedural complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759799carotid arteryischemicstenosisstrokecardiovascular diseases |
| spellingShingle | Vemireddy Pradeep Kumar Reddy Navin M. Mulimani Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study Journal of Clinical Interventional Radiology ISVIR carotid artery ischemic stenosis stroke cardiovascular diseases |
| title | Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study |
| title_full | Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study |
| title_fullStr | Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study |
| title_full_unstemmed | Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study |
| title_short | Comparison of the Outcome and Efficacy of Single-Layer versus Dual-Layer Mesh Stent among Carotid Stenosis Patients Attending a Tertiary Care Setting—A Prospective Observational Study |
| title_sort | comparison of the outcome and efficacy of single layer versus dual layer mesh stent among carotid stenosis patients attending a tertiary care setting a prospective observational study |
| topic | carotid artery ischemic stenosis stroke cardiovascular diseases |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759799 |
| work_keys_str_mv | AT vemireddypradeepkumarreddy comparisonoftheoutcomeandefficacyofsinglelayerversusduallayermeshstentamongcarotidstenosispatientsattendingatertiarycaresettingaprospectiveobservationalstudy AT navinmmulimani comparisonoftheoutcomeandefficacyofsinglelayerversusduallayermeshstentamongcarotidstenosispatientsattendingatertiarycaresettingaprospectiveobservationalstudy |