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- Publisher
- American Journal of Neuroradiology
- Copyright
- © 2017 by American Journal of Neuroradiology
- ISSN
- 0195-6108
- eISSN
- 1936-959X
- DOI
- 10.3174/ajnr.A5103
- pmid
- 28302610
- Publisher site
- See Article on Publisher Site
Abstract
ORIGINAL RESEARCH EXTRACRANIAL VASCULAR Selective-versus-Standard Poststent Dilation for Carotid Artery Disease: A Systematic Review and Meta-Analysis X O. Petr, X W. Brinjikji, X M.H. Murad, X B. Glodny, and X G. Lanzino ABSTRACT BACKROUND: The safety and efficacy of standard poststent angioplasty in patients undergoing carotid artery stent placement have not been well-established. PURPOSE: We conducted a systematic review of the literature to evaluate the safety and efficacy of carotid artery stent placement and analyzed outcomes of standard-versus-selective poststent angioplasty. DATA SOURCES: A systematic search of MEDLINE, EMBASE, Scopus, and the Web of Science was performed for studies published between January 2000 and January 2015. STUDY SELECTION: We included studies with 30 patients describing standard or selective poststent angioplasty during carotid artery stent placement. DATA ANALYSIS: A random-effects meta-analysis was used to pool the following outcomes: periprocedural stroke/TIA, procedure- related neurologic/cardiovascular morbidity/mortality, bradycardia/hypotension, long-term stroke at last follow-up, long-term primary patency, and technical success. DATASYNTHESIS: Weincluded87studieswith19,684patientswith20,378carotidarterystenoses.Therewasnodifferenceinclinical(P .49) or angiographic outcomes (P .93) in carotid artery stent placement treatment with selective or standard poststent balloon angioplasty. Both selective and standard poststent angioplasty groups had a very high technical success of 98% and a low procedure- relatedmortalityof0.9%.Therewerenosignificantdifferencesbetweenbothgroupsintheincidenceofrestenosis(P.93)orprocedure- related complications (P
Journal
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: May 1, 2017