Endovascular treatment of extracranial carotid artery stenosis using a dual-layer micromesh stents: a systematic review
Articolo
Data di Pubblicazione:
2021
Citazione:
Endovascular treatment of extracranial carotid artery stenosis using a dual-layer micromesh stents: a systematic review / D. Mazzaccaro, M. Giannetta, F. Fancoli, P. Righini, G. Nano. - In: EXPERT REVIEW OF MEDICAL DEVICES. - ISSN 1743-4440. - 18:6(2021), pp. 545-552. [10.1080/17434440.2021.1927707]
Abstract:
Introduction: We aimed to review the safety and effectiveness of dual-layer micromesh stents for the endovascular treatment of carotid artery stenosis. Methods: Electronic bibliographic databases were searched using the words ‘micromesh carotid stent’. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. Results: The search of the Literature retrieved 84 results. After assessment of full texts, 13 papers were included in the study. The analyzed studies included 797 patients, 32.1% of them were symptomatic. The reported technical success rate was 100% in all cases. During early follow-up, complications occurred overall in 16/797 patients (2%: 12 strokes, 3 deaths, and one transient ischemic attack). The study with the longest follow-up reported a survival rate of 82% at 4 years and a stroke-free survival rate of 84% at 4 years. Conclusion: With the limit of low data quality, the use of dual-layer stents was reported to be as safe and effective at 30 days for the endovascular treatment of extracranial carotid artery stenosis. The reported technical success was 100% in all cases. Further data coming from randomized controlled trials and larger cohort studies with longer follow-up are nevertheless needed for a better evaluation.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
c-guard; carotid stenosis; Carotid stenting; dual-layer; micromesh; nitinol stent; roadsaver; Cohort Studies; Humans; Stents; Treatment Outcome; Carotid Stenosis; Endovascular Procedures; Stroke;
Elenco autori:
D. Mazzaccaro, M. Giannetta, F. Fancoli, P. Righini, G. Nano
Link alla scheda completa: