Single versus double layer stent technique in Endovascular treatment of significant carotid artery stenosis

Maher, Mohamed 01020939434; Sobh, Khaled Mohamed; Elgedamy, Sayed Fathy; Ahmed, Mahmoud Galal

doi:10.21608/ijma.2025.359352.2128

Single versus double layer stent technique in Endovascular treatment of significant carotid artery stenosis

Articles in Press

Document Type : Original Article

Authors

¹ Neurology, faculty of medicine, alazher university new damitta

² Department of Neurology, Faculty of Medicine, Al-Azhar university, Cairo, Egypt

³ Neurology faculty of medicine alazher university

⁴ Department of neurology, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.

10.21608/ijma.2025.359352.2128

Abstract

Background: The carotid arteries(carotids), which branch off in the neck into the internal & external carotid arteries, are responsible for supplying oxygenated blood to the head & neck. Aim: 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 2 years at Al-Hussein Hospital, Al-Azhar University, Cairo, Results: no significant difference in complications, follow-up MRS, or side of stenosis between single and double stent groups p>0.05, but a significant difference in reoclusion p=0.03. However, there was a significant difference in used stent p≤0.001

, with no significant difference between the two groups p>0.05. 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.

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