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- W2896947483 abstract "Recently, InspireMD (Tel Aviv, Israel) presented the new InspireMD CGuard, a bare-metal stent covered by a micron-level mesh (MicroNet). The aim of this study was to evaluate the immediate and midterm outcomes of this new device compared with the results obtained with the first CGuard type (smaller diameter, higher flexibility, smoother tip) in terms of operative complications. Between May 2015 and May 2018, we performed a total of 39 consecutive carotid artery stenting (CAS) procedures with the InspireMD CGuard stent; 13 were performed with the first prototype of the stent (group A) and 26 with the new one (group B). Cerebral protection was used in all the procedures. The primary end point included technical and clinical success (1- to 30-day freedom from major and minor stroke and death). The incidence of new ischemic brain lesions was evaluated by diffusion-weighted magnetic resonance imaging performed within the first 24 hours as a secondary end point. In this study, 39 patients (74.6 years; 38.8% female; 2.5% symptomatic) underwent CAS procedures. In the first subgroup, three patients had a technical failure and were treated with CAS with another carotid stent. Two patients presented with a transient ischemic attack in the perioperative period, and the lesions were all predilated. In the second group, immediate technical success was 100%; one epileptic fit with residual neurologic deficit on day 1 occurred, but no minor or major stroke. Two important bradycardias were registered during the postdilation period (one in the first subgroup and one in the second). New cerebral events did not occur after the operative procedure and within the first 30 days. New brain lesions were identified in two patients by diffusion-weighted magnetic resonance imaging within the first 24 hours, one silent (in the first subgroup) and one in the epileptic patient. Mean follow-up was 24 months (range, 2-36 months). No patients died, no restenosis was detected during follow-up, and no reintervention were performed. Primary patency and secondary patency were 100% and 100%. In our experience, the first CGuard failed to prove the benefit of the micromesh stent because of a higher stiffness associated with a larger diameter; the new CGuard offers good immediate results. The presence of micromesh warranted good results even for the first model of the stent in terms of postoperative deficit." @default.
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- W2896947483 date "2018-11-01" @default.
- W2896947483 modified "2023-10-02" @default.
- W2896947483 title "LEA 17. Better Results Are Obtained With the New C-Guard Stent" @default.
- W2896947483 doi "https://doi.org/10.1016/j.jvs.2018.08.028" @default.
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