Single versus Double Layer Stent Technique in Endovascular Treatment of Significant Carotid Artery Stenosis | ||
| International Journal of Medical Arts | ||
| Article 2, Volume 7, Issue 7, July 2025, Pages 5836-5839 PDF (1.48 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2025.359352.2128 | ||
| Authors | ||
| Mohamed 01020939434 Maher* 1; Khaled Mohamed Sobh2; Sayed Fathy Elgedamy3; Mahmoud Galal Ahmed4 | ||
| 1Neurology, faculty of medicine, alazher university new damitta | ||
| 2Department of Neurology, Faculty of Medicine, Al-Azhar university, Cairo, Egypt | ||
| 3Neurology faculty of medicine alazher university | ||
| 4Department of neurology, Faculty of Medicine, Al-Azhar university, Cairo, Egypt. | ||
| Abstract | ||
| Background: The carotid arteries[carotids], which branch off in the neck into the internal and external carotid arteries, are responsible for supplying oxygenated blood to the head and neck. The current work aimed to compare a double carotid stent to a single layer with respect to the safety & prognosis profile of elective carotid stenosis with elevated grade in both symptomatic & asymptomatic cases. Patients and Methods: This research used an open-label, retrospective design. center research that was conducted on 65 patients over a period of two years at Al-Hussein University Hospital, Cairo, Egypt. Results: The stenosis was mainly on the left side in both single and double stent groups [59.7% and 57.57%]. The single group used Wall type [For all patients in this group] while double group used Casper type of stents for all patients also in the group. Filer was used in minority of patients in both single and double stent groups [6.06% vs 3.03%]. No significant difference in complications, follow-up modified Rankin scale [mRS], or side of stenosis between single and double stent groups. However, the re-occlusion was significantly higher in the double than single stent groups [21.21% vs 3.13%]. Otherwise, both groups were comparable regarding complications related to the procedure or angioplasty. Conclusion: Both single layer stent and protected stenting with micromesh Casper stent showed good safety and efficacy in the treatment of carotid stenosis with a low incidence of re-occlusion. These preliminary data require confirmation from larger, randomized and prospective studies. | ||
| Keywords | ||
| Single; Double Layer Stent Technique; Carotid Artery; Stenosis | ||
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