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Research ArticleINTERVENTIONAL

Efficacy of Treatment of Severe Carotid Bifurcation Stenosis By Using Self-Expanding Stents without Deliberate Use of Angioplasty Balloons

Stephen P. Lownie, David M. Pelz, Donald H. Lee, Suleyman Men, Irene Gulka and Paul Kalapos
American Journal of Neuroradiology May 2005, 26 (5) 1241-1248;
Stephen P. Lownie
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David M. Pelz
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Donald H. Lee
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Suleyman Men
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Irene Gulka
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Paul Kalapos
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Figures

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    Fig 1.

    A, Right CCA digital subtraction arteriogram (DSA), lateral view, showing a very severe atherosclerotic stenosis of the proximal ICA, >95% by NASCET criteria (arrow).

    B, Repeat DSA, lateral view, immediately poststenting alone, without balloon angioplasty, showing a reduction in the degree of stenosis to approximately 29%.

  • Fig 2.
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    Fig 2.

    A, Left CCA DSA, AP view, showing a severe stenosis of the proximal ICA, measuring approximately 76% (arrow).

    B, Repeat DSA, AP view, immediately poststenting without balloon angioplasty, showing reduction of the stenosis to approximately 50% (arrow).

    C, Follow-up DSA, AP view, 3 years poststenting alone, shows no residual ICA stenosis.

    D, E, and F, Conventional AP radiographs of the neck immediately poststenting (D), 1 month (E) and 8 months (F) poststenting, showing progressive opening of the stent waist (arrow), with maximum expansion occurring in the 1st month postprocedure.

  • Fig 3.
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    Fig 3.

    Follow-up radiologic results based on initial angiography and subsequently conventional radiographs of the stented artery. Degree of stenosis measured according to NASCET method.

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    Fig 4.

    Follow-up sonography results based on peak systolic velocity measurements, Matched pairs of measurements in the same patients at different time intervals after stent placement.

  • Fig 5.
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    Fig 5.

    Follow-up sonography results based on ratio of ICA to common carotid velocity. Matched pairs of measurements in the same patients at different time intervals after stent placement.

  • Fig 6.
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    Fig 6.

    A, Right lateral CCA DSA, showing a severe stenosis of the proximal ICA, measuring approximately 80%.

    B, Repeat lateral DSA, poststenting alone, showing reduction of the stenosis to approximately 63%.

    C, D, and E, Conventional AP radiographs of the neck immediately poststenting (C), 5 months (D), and 8 months (E) poststenting. There has been no further expansion of the stent over 8 months. Note the prominent, focal plaque calcification (arrows).

  • Fig 7.
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    Fig 7.

    Table showing breakdown of results according to the degree of immediate or delayed expansion of the self-expanding stent. Percentage results are according to the NASCET criteria, based on the widest luminal diameter of the metallic stent beyond point of maximum stenosis.

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American Journal of Neuroradiology: 26 (5)
American Journal of Neuroradiology
Vol. 26, Issue 5
1 May 2005
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Cite this article
Stephen P. Lownie, David M. Pelz, Donald H. Lee, Suleyman Men, Irene Gulka, Paul Kalapos
Efficacy of Treatment of Severe Carotid Bifurcation Stenosis By Using Self-Expanding Stents without Deliberate Use of Angioplasty Balloons
American Journal of Neuroradiology May 2005, 26 (5) 1241-1248;

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Efficacy of Treatment of Severe Carotid Bifurcation Stenosis By Using Self-Expanding Stents without Deliberate Use of Angioplasty Balloons
Stephen P. Lownie, David M. Pelz, Donald H. Lee, Suleyman Men, Irene Gulka, Paul Kalapos
American Journal of Neuroradiology May 2005, 26 (5) 1241-1248;
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  • Relevance of Distal Arterial Collapse in Stenting of Atherosclerotic Near-Occlusion of the Carotid Artery
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