Self-expanding stents for carotid interventions: Comparison of nitinol versus stainless-steel stents

Debabrata Mukherjee, Vidyasagar Kalahasti, Marco Roffi, Deepak L. Bhatt, Samir R. Kapadia, Christopher Bajzer, Joel Reginelli, Khaled M. Ziada, Kathy Hughes, Jay S. Yadav

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Background. Angioplasty and stenting are becoming increasingly accepted techniques for the treatment of carotid stenosis. However, the optimal stent for carotid intervention is not known. Methods. We compared the short- and intermediate-term results of carotid stenting using either nitinol or stainless-steel self-expanding stents in 178 high surgical risk patients undergoing carotid stenting at our institution. Of these 178 patients, eighty-nine received stainless-steel stents and 89 received nitinol stents. The groups were similar with respect to age, gender, diabetes, hypertension, left ventricular function, and symptom status. There were more patients with contralateral carotid occlusion in the nitinol stent group. Independent neurological evaluation was performed in all patients pre- and post-carotid stenting. Results. At 6 months, there was a similar incidence of stroke (3.3% versus 2.2%) in the stainless-steel group and nitinol stent group, respectively. There was higher 6-month mortality noted in the stainless-steel stent group, but there were no neurological deaths in either group. Conclusions. In a single-center patient cohort with similar baseline characteristics, patients receiving nitinol stents and stainless-steel stents had similar neurological outcomes.

Original languageEnglish
Pages (from-to)732-735
Number of pages4
JournalJournal of Invasive Cardiology
Volume13
Issue number11
StatePublished - Nov 2001

Keywords

  • Angioplasty
  • Carotid artery
  • Nitinol
  • Stainless-steel
  • Stenting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint

Dive into the research topics of 'Self-expanding stents for carotid interventions: Comparison of nitinol versus stainless-steel stents'. Together they form a unique fingerprint.

Cite this