• Renal artery stenting may benefit patients with renal artery stenosis (RAS) who have historically been excluded from modern clinical trials, according to a consensus statement issued by the Society for Cardiovascular Angiography and Interventions (SCAI). (renalandurologynews.com)
  • Renal artery stenosis (RAS) is a known cause of hypertension and ischemic nephropathy. (biomedcentral.com)
  • Renal artery stenosis due to atherosclerotic changes of the renal arteries has become a serious concern as a cause of hypertension and renal ischemia, resulting frequently in end-stage renal failure [ 1 , 2 ]. (biomedcentral.com)
  • The study has been carried out prospectively on 46 patients affected by hemodynamically significant atherosclerotic renal artery stenosis, detected by Magnetic Resonance Angiography or Selective Digital Angiography. (biomedcentral.com)
  • Background: Atherosclerotic renal artery stenosis is a problem with no consensus on diagnosis or therapy. (umn.edu)
  • Conclusions: CORAL represents a unique opportunity to determine the incremental value of stent revascularization, in addition to optimal medical therapy, for the treatment of atherosclerotic renal artery stenosis. (umn.edu)
  • Figure 11: Example of (A) Bilateral Renal Artery Stenosis. (radcliffecardiology.com)
  • The mean trans-stenotic pressure gradients were 6~43 mmHg prior to stenting and returned to 0~4 mmHg after stent placement. (benthamscience.com)
  • Stent placement in the outlet of the right ventricle. (bmj.com)
  • A stent can be used to stabilize the cricoid plate once it has been divided anteriorly or posteriorly, with or without cartilage placement, to keep the complex in an expanded formation during healing. (medscape.com)
  • For anterior graft placement only, stenting commonly lasts for a week or less, which usually occurs while a patient is endotracheally intubated in an intensive care unit (ICU). (medscape.com)
  • A prospective, multicentre study involving the Covera vascular covered stent (BD) has confirmed the benefits of immediate, post-percutaneous transluminal angioplasty (PTA) placement of the device in treating arteriovenous graft (AVG) venous anastomotic stenosis when anatomically and clinically suitable. (vascularnews.com)
  • The authors begin by noting that, as per three prospective, multicentre, randomised trials, placement of a covered stent has previously led to statistically superior TLPP rates compared to PTA alone in restoring flow and maintaining haemodialysis access . (vascularnews.com)
  • Carotid stenting involves the placement of a stent across the stenosis in the carotid artery. (wikipedia.org)
  • Medicare covers PTA of the carotid artery concurrent with the placement of an FDA-approved carotid stent and an FDA-approved or cleared embolic protection device for an FDA-approved indication when furnished in accordance with FDA-approved protocols governing post-approval studies. (cms.gov)
  • Whether increased Lp-PLA2 level is associated with re-stenosis after stent-placement is unclear. (biomedcentral.com)
  • Totally 326 participants eligible for stent-placement were enrolled and divided into two groups according to baseline Lp-PLA2 levels (named normal and elevated groups). (biomedcentral.com)
  • Owing to the significant and unequivocal implications of Lp-PLA2 on the initiation and progression of atherosclerosis and CAD, we speculated that increased plasma level of Lp-PLA2 at baseline might contribute to re-stenosis in patients with stent placement. (biomedcentral.com)
  • After angiographic evaluation, patients diagnosed as significant CHD and eligible for stent-placement were enrolled after written informed consent was obtained. (biomedcentral.com)
  • This includes closing heart defects, stent placement or ballooning of stenotic lesions/valves and transcatheter valve replacement. (cookchildrens.org)
  • Treatment is indicated only if symptoms or uterine abnormalities are present and typically involves cervical dilation and placement of a cervical stent. (msdmanuals.com)
  • Placement of a metal stent across a stenotic or occluded blood vessel is intended to maintain patency of and re-establish flow through the vessel by providing internal structural support. (medscape.com)
  • Selective stent placement (exclusive of carotid intervention) is indicated as secondary intervention following balloon angioplasty when the result is residual stenosis greater than 30% or a flow-limiting dissection. (medscape.com)
  • Primary stent placement is generally indicated as initial intervention for iliac, renal, subclavian, and carotid stenosis. (medscape.com)
  • In case of simultaneous stent placement for other lesions, only GenossTM drug-eluting stents should be used. (who.int)
  • In the present paper we would discuss about designing a MEMS-based drug-eluting stent and its simulation study using Comsol Multiphysics to understand how HAS could be treated. (stmjournals.in)
  • Sino Medical Sciences Technology Inc. received marketing approval from China's NMPA for its drug eluting stent system to improve vascular stenosis in patients with localized ischemic heart disease. (bioworld.com)
  • A drug-eluting stent is coated with a medicine. (mountsinai.org)
  • The main downside of stenting, according to Dr. Moll, is impaired cognition and the development of vascular dementia. (medscape.com)
  • Agreeing with the conclusions of Dr. Moll's study, Laura Capoccia, MD, from Sapienza University of Rome, Italy, said, "We may be causing vascular dementia in patients treated with carotid artery stenting. (medscape.com)
  • Surgeons in other subspecialties, such as gastroesophageal, genitourinary, and vascular surgery, developed stents that remain useful in expanding lumens in these areas. (medscape.com)
  • Outflow vein stenosis is one of the commonest complications of both native and prosthetic vascular access. (uninsubria.it)
  • We aimed to conduct a systematic review of literature concerning stents migration in vascular access, the possible outcomes and treatments. (uninsubria.it)
  • All the patients underwent stenting for vascular access outflow stenosis. (uninsubria.it)
  • Writing in the Journal of Vascular and Interventional Radiology (JVIR) , Bart Dolmatch (Palo Alto Medical Foundation, Mountain View, USA) and colleagues report a 30-day freedom from safety-related events of 96.4% and a six-month target lesion primary patency (TLPP) of 70.3% with the Covera stent. (vascularnews.com)
  • Critical steps in both approaches are vascular access, crossing the stenosis with a wire, deploying a stent across the lesion, and removing the vascular access. (wikipedia.org)
  • The Protégé GPS self-expanding peripheral stent system is designed to enhance delivery, deployment and visibility during peripheral vascular procedures," said Mark Turco, medical director of the Aortic and Peripheral Vascular business at Medtronic. (vascularnews.com)
  • The product is designed to improve the speed of wound healing and accelerate the recovery of vascular endothelium after stent implantation. (bioworld.com)
  • Peripheral vascular disease (PVD ), or atherosclerosis of peripheral vessels, is the most common cause of symptomatic stenosis in the human vascular tree. (medscape.com)
  • The indications for peripheral vascular stents for known peripheral arterial disease are the same as those for open intervention. (medscape.com)
  • However, the role of stenting has been challenged since the publication of the first randomised controlled trial on Stenting versus Aggressive Medical Management for Preventing Recurrent stroke in Intracranial arterial Stenosis (SAMMPRIS). (hkmj.org)
  • however, the dogbone shape was observed immediately after the releasing of the stent, which may lead to less lumen gains and higher risk of arterial dissection at both ends of the stent. (asme.org)
  • Evidence Central , evidence.unboundmedicine.com/evidence/view/infoPOEMs/427425/all/Medical_therapy_superior_to_stenting_in_preventing_stroke_recurrence_for_intracranial_arterial_stenosis. (unboundmedicine.com)
  • Stents can also open up narrow arteries in your legs caused by peripheral arterial disease. (mountsinai.org)
  • The image demonstrates the typical rounded tardus parvus waveform morphology, which is indicative of upstream arterial thrombosis or severe stenosis. (medscape.com)
  • Up to 50% of symptomatic patients treated with stents may have new silent ischemic lesions detected by MRI. (medscape.com)
  • The recent Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL) trial failed to demonstrate benefit from renal stenting over optimal medical therapy, but patients whose condition might be improved by stenting were excluded from the trial. (renalandurologynews.com)
  • In a study of 30 children who underwent tracheal disease surgery, either for congenital tracheal stenosis (25 patients) or acquired lesions (5 patients), Arcieri et al found that 19 patients (63%) required endoscopic reinterventions, including 13 (43.3%) in whom stent positioning was performed. (medscape.com)
  • BEJING -- The degree of stenosis does not affect outcomes in elective stenting of intracranial arteries, but the procedure should probably be reserved for major lesions, researchers here reported. (patientcareonline.com)
  • Baseline characteristics were similar between groups, but there were significantly more long lesions (at least 10 mm) and basilar stenosis in the severe-stenosis group. (patientcareonline.com)
  • Atherosclerotic lesions that critically narrow the artery can necessitate an angioplasty and stent implantation. (maastrichtuniversity.nl)
  • Significantly higher patency in complex TASC C&D lesions compared to bare metal stents at 5 years (p=0.003). (getinge.com)
  • The Advanta V12/iCast studies treated patients with more severe disease (a greater number of TASC C & D lesions) and more severe symptoms (more Rutherford classification 4 & 5) compared to patients enrolled in clinical trials studying other covered balloon-expandable stents. (getinge.com)
  • Extremely calcified scars/stenosis plaques can be challenging from an endovascular treatment perspective as severely calcified lesions are prone to technical failure, stent re-coil and restenosis. (umassmed.edu)
  • Intravascular lithotripsy, approved for treatment of severely calcified coronary lesions, can be used for breaking up the calcium build up in the intimal and medial layers of the vessel wall prior to stenting. (umassmed.edu)
  • The Protégé GPS self-expanding peripheral stent system (Medtronic) has received approval from the FDA for the treatment of stenotic lesions of the common and external iliac arteries. (vascularnews.com)
  • The DURABILITY Iliac study results demonstrated the safety and effectiveness of the Protégé GPS peripheral stent system in the treatment of stenotic lesions of the common and external iliac arteries. (vascularnews.com)
  • When used for iliac angioplasty and stenting, the Protégé GPS self-expanding peripheral stent system demonstrated excellent patency rates even in difficult-to-treat calcified lesions," said Peter Faries, co-national principal investigator of the DURABILITY Iliac study, Mount Sinai School of Medicine, New York, USA. (vascularnews.com)
  • The Protégé GPS self-expanding peripheral stent system allows physicians to treat iliac artery lesions and restore blood flow with large diameter stents through a low, 6F profile delivery system. (vascularnews.com)
  • Acute treatment of difficult lesions such as blister aneurysms by using a stent or stent-assisted coiling, in the setting of SAH, has also been reported. (ajnr.org)
  • 50% residual stenosis), follow-up angiography, and outcome were collected. (nih.gov)
  • Procedural success, defined as residual stenosis of less than 30% was obtained in all cases. (citationimpact.com)
  • The authors detail that the mean anastomotic lesion stenosis at the time of treatment was 71.5%, decreasing to a mean residual stenosis of 21% following PTA predilation. (vascularnews.com)
  • The mean residual stenosis at procedure completion was 0.9%, Dolmatch and colleagues report. (vascularnews.com)
  • November 25, 2009 (New York, New York) - Mounting evidence suggests that carotid artery stenting is much less safe than carotid endarterectomy in patients with symptomatic and asymptomatic carotid artery stenosis. (medscape.com)
  • Stenting for symptomatic vertebral artery stenosis: The Vertebral Artery Ischaemia Stenting Trial. (ox.ac.uk)
  • OBJECTIVE: To compare in the Vertebral Artery Ischaemia Stenting Trial (VIST) the risks and benefits of vertebral angioplasty and stenting with best medical treatment (BMT) alone for symptomatic vertebral artery stenosis. (ox.ac.uk)
  • Participants with symptomatic vertebral stenosis ≥50% were randomly assigned (1:1) to vertebral angioplasty/stenting plus BMT or to BMT alone with randomization stratified by site of stenosis (extracranial vs intracranial). (ox.ac.uk)
  • CLASSIFICATION OF EVIDENCE: This study provides Class I evidence that for patients with symptomatic vertebral stenosis, angioplasty with stenting does not reduce the risk of stroke. (ox.ac.uk)
  • Scholars@Duke publication: Stenting for symptomatic vertebral artery stenosis: a preplanned pooled individual patient data analysis. (duke.edu)
  • BACKGROUND: Symptomatic vertebral artery stenosis is associated with a high risk of recurrent stroke, with higher risks for intracranial than for extracranial stenosis. (duke.edu)
  • Vertebral artery stenosis can be treated with stenting with good technical results, but whether it results in improved clinical outcome is uncertain. (duke.edu)
  • We aimed to compare vertebral stenting with medical treatment for symptomatic vertebral stenosis. (duke.edu)
  • METHODS: We did a preplanned pooled individual patient data analysis of three completed randomised controlled trials comparing stenting with medical treatment in patients with symptomatic vertebral stenosis. (duke.edu)
  • Analyses were performed for vertebral stenosis at any location and separately for extracranial and intracranial stenoses. (duke.edu)
  • INTERPRETATION: Stenting for vertebral stenosis has a much higher risk for intracranial, compared with extracranial, stenosis. (duke.edu)
  • Vertebral artery stenting to prevent recurrent stroke in symptomatic vertebral artery stenosis: the VIST RCT. (ox.ac.uk)
  • BACKGROUND: Symptomatic vertebral artery (VA) stenosis has been associated with a markedly increased early risk of recurrent stroke. (ox.ac.uk)
  • Participants had to have symptomatic vertebral stenosis of at least 50% resulting from presumed atheromatous disease. (ox.ac.uk)
  • INTERVENTIONS: Participants were randomly assigned (1 : 1) to either vertebral angioplasty/stenting plus BMT (n = 91) or BMT alone (n = 88). (ox.ac.uk)
  • The use of a Wingspan stent in patients with severe intracranial stenosis is relatively safe with high rate of technical success with moderately high rate of restenosis. (nih.gov)
  • The symptoms and signs of IH prior to stenting and post-stenting and the incidence of restenosis after stenting were analyzed. (benthamscience.com)
  • The SSTARS (STeroids and Stents Against Re-Stenosis) Trial: Different stent alloys and the use of peri-procedural oral corticosteroids to prevent in-segment restenosis after percutaneous coronary intervention. (ox.ac.uk)
  • BACKGROUND: Stent design and technological modifications to allow for anti-proliferative drug elution influence restenosis rates following percutaneous coronary intervention (PCI). (ox.ac.uk)
  • We aimed to investigate whether peri-procedural administration of corticosteroids or the use of thinner strut cobalt alloy stents would reduce rates of binary angiographic restenosis (BAR) after PCI. (ox.ac.uk)
  • In addition, we showed no significant reduction in 6month restenosis rates with stents composed of CoCr alloy compared to SS (http://www.isrctn.com/ISRCTN05886349). (ox.ac.uk)
  • By supporting the adhesion and proliferation of endothelial progenitor cells, RGD/CXCL1 coating of stents may help to accelerate endothelial repair after stent implantation, and thus may harbor the potential to limit the complication of in-stent restenosis in clinical approaches. (maastrichtuniversity.nl)
  • A previous trial showed the cumulative likelihood of lesion-related ischemic strokes at one year was at least 17% for severe stenosis despite medical therapy, aspirin or Coumadin (warfarin), compared with 7% to 8% for moderate stenosis. (patientcareonline.com)
  • Lesion preparation prior to the deployment of the stent may help relieve underexpansion of the stent. (asme.org)
  • Advanta V12/iCast is the only CBE stent with current long-term target lesion revascularization data. (getinge.com)
  • One covered stent was used to treat each study lesion, meaning 110 stents were deployed, and all but two of these were postdilated. (vascularnews.com)
  • Stroke and death rates were much higher in patients who received carotid artery stents compared with those treated by endarterectomy in the large randomized International Carotid Stenting Study (ICSS). (medscape.com)
  • A substudy of ICSS included 5 centers with 108 patients randomly assigned to carotid artery stent and 92 patients randomly assigned to endarterectomy. (medscape.com)
  • This is why stenting is losing the battle to endarterectomy," Dr. Capoccia stated. (medscape.com)
  • Patients were randomly assigned to either carotid artery stenting or carotid endarterectomy. (medscape.com)
  • 72 patients in the stenting group experienced one of these events vs 43 in the endarterectomy group ( P = .004). (medscape.com)
  • The difference favoring surgery was even more striking for stroke: 65 (8%) for stenting vs 34 (4%) for endarterectomy. (medscape.com)
  • Bilateral carotid stenting may remain an alternative to endarterectomy in bilateral ICA stenosis due to fibromuscular dysplasia when ischaemic events persist despite full antithrombotic therapy. (qxmd.com)
  • While historically endarterectomy has been the treatment for carotid stenosis, stenting is an alternative intervention for patients who are not candidates for surgery. (wikipedia.org)
  • High risk factors for endarterectomy, which would favor stenting instead, include medical comorbidities (severe heart disease, heart failure, severe lung disease) and anatomic features (contralateral carotid occlusion, radiation therapy to the neck, prior ipsilateral carotid artery surgery, intra-thoracic or intracranial carotid disease) that would make surgery difficult and risky. (wikipedia.org)
  • The risk-reduction from intervention for carotid stenosis (stenting or endarterectomy) is greatest when the indication for intervention is symptoms (i.e., the patient is symptomatic) - typically stroke or TIA. (wikipedia.org)
  • There is insufficient evidence to say that stenting or endarterectomy is better for symptomatic patients. (wikipedia.org)
  • The periprocedural risk for stroke is higher among women undergoing carotid artery stenting than among those undergoing carotid endarterectomy, according to new results from the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) published online in the Lancet Neurology. (jwatch.org)
  • Newly issued guidelines provide increased support for carotid stenting as an alternative to carotid endarterectomy, but don't favor widespread screening or the routine use of ultrasound to assess the risk for stroke. (jwatch.org)
  • Researchers in the Carotid Stenting Trialists' Collaboration combined data from 3433 patients with symptomatic carotid stenosis who were randomized to either endarterectomy or stenting in the EVA-3S, SPACE, and ICSS trials. (jwatch.org)
  • These patients were randomized to either endarterectomy or stenting. (medscape.com)
  • CONCLUSIONS: Stenting in extracranial stenosis appears safe with low complication rates. (ox.ac.uk)
  • FINDINGS: Data were from 354 individuals from three trials, including 179 patients from VIST (148 with extracranial stenosis and 31 with intracranial stenosis), 115 patients from VAST (96 with extracranial stenosis and 19 with intracranial stenosis), and 60 patients with intracranial stenosis from SAMMPRIS (no patients had extracranial stenosis). (duke.edu)
  • Across all trials, 168 participants (46 with intracranial stenosis and 122 with extracranial stenosis) were randomly assigned to medical treatment and 186 to stenting (64 with intracranial stenosis and 122 with extracranial stenosis). (duke.edu)
  • Stenting for extracranial stenosis might be beneficial, but further larger trials are required to determine the treatment effect in this subgroup. (duke.edu)
  • FUTURE: Post hoc analysis suggested that stenting could be associated with a reduced recurrent stroke risk in symptomatic VA and further studies are now required to confirm these findings, particularly in extracranial VA stenosis where complication rates with stenting were confirmed to be very low. (ox.ac.uk)
  • Balloon expandable stainless steel stents (Johnson & Johnson) were deployed in the right ventricular infundibulum. (bmj.com)
  • Instead of the classical surgical approach, percutaneous balloon angioplasty or endovascular stenting have recently become accepted procedures in the attempt to revascularize the stenotic kidney and prevent chronic renal insufficiency. (biomedcentral.com)
  • In the study, the balloon-expandable ultra-high ductility (UHD) biodegradable magnesium stent was shown to perform better than current metallic non-biodegradable stents in use in both in lab testing and in rabbit models. (medicaldialogues.in)
  • The stent is inserted at the same time as the balloon catheter. (medlineplus.gov)
  • Advanta V12 is the first to market balloon expandable, fully encapsulated stent that has served more than 850,000 patients. (getinge.com)
  • The Advanta V12 balloon expandable covered stent is indicated for restoring and improving the patency of the iliac and renal arteries. (getinge.com)
  • The Advanta V12 balloon expandable covered stent is not available in the U.S. (getinge.com)
  • A number of other steps may or may not be performed, including the use of a cerebral protection device, pre- or post-stent balloon angioplasty and cerebral angiography. (wikipedia.org)
  • Additional advances with the use of complex coils, 2 balloon remodelling, 3 , 4 "bioactive" coils, 5 ⇓ - 7 and stent-assisted coiling 8 ⇓ ⇓ - 11 have occurred, facilitating treatment of wide-neck aneurysms. (ajnr.org)
  • Percutaneous transluminal angioplasty of superficial femoral artery stenosis, performed with a long balloon via a contralateral femoral approach. (medscape.com)
  • The consensus statement also reviews the evidence and expert opinion on the performance of renal artery angiography and intervention with stents. (renalandurologynews.com)
  • In a 37 year old woman with recurrent right hemispheric transitory ischaemic attacks, a non-disabling minor stroke, and recurrent right amaurosis fugax despite antithrombotic therapy, cerebral angiography disclosed a long segment narrowing, distal, high grade (95%) stenosis of the right ICA and a long narrowing, distal high grade (70%) stenosis of the left ICA. (qxmd.com)
  • They included only the 213 patients (220 stenoses) who had at least 50% or more stenosis of a major intracranial artery verified by angiography, had already suffered an ischemic stroke or transient ischemic attack, and had at least one atherosclerotic risk factor. (patientcareonline.com)
  • Late complications such as recurrent stenosis may occur, and surveillance with duplex ultrasound or CT-Angiography may be performed. (wikipedia.org)
  • Our results are very promising for the use of this novel biodegradable, high ductility metal stent, particularly for pediatric patients," said Kumta, who also holds appointments in Chemical and Petroleum Engineering, Mechanical Engineering and Materials Science, and the McGowan Institute of Regenerative Medicine. (medicaldialogues.in)
  • The commonest type of device reported was self expandible bare-metal stent. (uninsubria.it)
  • All 4 patients with unilateral stenosis, 2 of whom had progression of stenosis resulting in nearly complete unilateral pulmonary vein occlusion, survived. (nih.gov)
  • Follow-up for at least 6 months evaluated occlusion, mass effect, delayed complications, ongoing antiplatelet therapy, and in-stent stenosis. (ajnr.org)
  • Contrast-enhanced MRA using a gadolinium MR agent offers improved visualization in areas of high-grade stenosis where TOF MRA may falsely indicate a short-segment occlusion. (medscape.com)
  • Cervical stenosis is a narrowing or occlusion (stricture) of the internal cervical os. (msdmanuals.com)
  • As a means of preventing secondary ischaemic stroke, angioplasty and stenting are considered potentially beneficial for patients with severe intracranial atherosclerotic stenosis. (hkmj.org)
  • This indicated that aggressive medical management was superior to stenting using Wingspan to prevent recurrent stroke, because stenting has a high peri-procedural stroke and death rate. (hkmj.org)
  • These are based on the prevalence of the disease in Hong Kong, the high risk of recurrent stroke despite medical therapy in the presence of haemodynamic intracranial stenosis without sufficient collaterals, an analysis of the weak points of SAMMPRIS, and results of clinical studies in Hong Kong. (hkmj.org)
  • The primary endpoint of fatal or nonfatal stroke occurred in 5 patients in the stent group vs 12 in the medical group (hazard ratio 0.40, 95% confidence interval 0.14-1.13, p = 0.08), with an absolute risk reduction of 25 strokes per 1,000 person-years. (ox.ac.uk)
  • Large phase 3 trials are required to determine whether stenting reduces stroke risk. (ox.ac.uk)
  • Methods: CORAL is a randomized clinical trial contrasting optimum medical therapy alone to stenting with optimum medical therapy on a composite cardiovascular and renal end point: cardiovascular or renal death, myocardial infarction, hospitalization for congestive heart failure, stroke, doubling of serum creatinine, and need for renal replacement therapy. (umn.edu)
  • At 30 days, the ischemic stroke rate was 4.8% in patients with 70% stenoses versus 4.3% in those with 50% to 69% stenoses, said Wei-Jian Jiang, M.D., of Tiantan Hospital at the Capital University of Medical Sciences, and colleagues in the Feb. 6 issue of Neurology. (patientcareonline.com)
  • Carotid artery angioplasty and stenting may help lower your chance of having a stroke. (medlineplus.gov)
  • Carotid artery stenting is an endovascular procedure where a stent is deployed within the lumen of the carotid artery to treat narrowing of the carotid artery and decrease the risk of stroke. (wikipedia.org)
  • Carotid stenting is used to reduce the risk of stroke associated with carotid artery stenosis. (wikipedia.org)
  • While rates of stroke and death after both surgery and stenting are low, rates of stroke and death after stenting may be higher than endartererectomy, particularly for transfemoral stenting in patients over age 70. (wikipedia.org)
  • A new generation of double-layer stents is currently being developed to reduce to reduce the risk of stroke during or after the procedure. (wikipedia.org)
  • Every so often, one of my patients with no history of stroke or transient ischemic attack asks my opinion on what to do about a carotid ultrasound - not ordered by me - showing high-grade stenosis. (jwatch.org)
  • Dr. Capoccia presented a small study of 23 asymptomatic patients who underwent carotid stenting. (medscape.com)
  • However, there is a lack of evidence of the long-term good outcomes in patients with CVSS who underwent stenting. (benthamscience.com)
  • median age 71 years) underwent Casper stent implantation for carotid artery stenosis. (bmj.com)
  • The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis. (benthamscience.com)
  • A cause of internal jugular vein stenosis. (caringmedical.com)
  • Sometimes such is the case with internal jugular vein stenosis. (caringmedical.com)
  • Right ventricular outflow stent implantation: an alternative to palliative surgical relief of infundibular pulmonary stenosis. (bmj.com)
  • CONCLUSION: Stent implantation provides an effective alternative to palliative surgical enlargement of the right ventricular infundibulum. (bmj.com)
  • We here employed a miniaturized nitinol-stent coated with star-shaped polyethylenglycole (star-PEG), and evaluated its bio-functionalization with RGD and CXCL1 for improving in-stent stenosis after implantation into carotid arteries of mice. (maastrichtuniversity.nl)
  • Retrospective review of 170 consecutive patients treated for total anomalous pulmonary venous drainage identified 13 patients with postrepair pulmonary vein stenosis. (nih.gov)
  • Nitinol foils or stents (bare metal) were coated with star-PEG, and bio-functionalized with RGD, or RGD/CXCL1. (maastrichtuniversity.nl)
  • In vivo, bio-functionalization with RGD/CXCL1 significantly reduced neointima formation and thrombus formation, and increased re-endothelialization in apoE-/- carotid arteries compared with bare-metal nitinol stents, star-PEG-coated stents, and stents bio-functionalized with RGD only. (maastrichtuniversity.nl)
  • Bio-functionalization of star-PEG-coated nitinol-stents with RGD/CXCL1 reduced in-stent neointima formation. (maastrichtuniversity.nl)
  • They add that the current study, AVeVA (Arteriovenous stent graft in the treatment of stenosis at the graft-vein anastomosis of AV graft circuits), examined a self-expanding nitinol covered stent (Covera) that is more flexible than the device used in two of those prior studies (Flair, BD). (vascularnews.com)
  • The stent is cut from a nitinol tube into an open lattice design and has tantalum radiopaque markers at the proximal and distal ends of the stent. (vascularnews.com)
  • Although it has been described as a uncommon complication, the risk of stent migration should be always considered. (uninsubria.it)
  • Stent removal is the treatment of choice when severe symptoms or cardiopulmonary complication are present. (uninsubria.it)
  • During the following 12~126 months (the median was 62) after stenting of the follow-up, 91.9% (57/62) of the patients obtained good outcomes. (benthamscience.com)
  • However, There were still 8.0 % (5/62) of the patients with poor outcomes, including optic disc atrophy in 3 patients and stent-interior thrombosis in 2 patients, which occurred 6.3 months after stenting. (benthamscience.com)
  • A retrospective study by Nagano et al using multivariate analysis indicated that in cases of severe central airway obstruction caused by advanced cancer, stenting tends to achieve better outcomes in patients with a good prestenting performance status (PS). (medscape.com)
  • Using commercial non-biodegradable metal or silicone based tracheal stents has a risk of severe complications and doesn't achieve optimal clinical outcomes, even in adults," said Prashant N. Kumta, Edward R. Weidlein Chair Professor of bioengineering at the Swanson School of Engineering. (medicaldialogues.in)
  • Dr. Jiang and colleagues analyzed outcomes in a prospective database of stenting for intracranial stenosis at their single center from 2001 to 2005 with follow-up through 2006. (patientcareonline.com)
  • The similar outcomes in the two groups may mean that elective stenting has eliminated the degree of stenosis as a predictor of outcome,' they added. (patientcareonline.com)
  • If finally corroborated, we believed that in the future lowering Lp-PLA2 level with its specific antagonist would definitely reduce the risk of re-stenosis and doubtless improve the outcomes of patient with CAD. (biomedcentral.com)
  • First, they determined how often carotid stenting was performed by different specialists (i.e., cardiologists, surgeons, radiologists) within each HRR, then they compared utilization rates and 30-day outcomes of the procedure across HRRs. (jwatch.org)
  • Carotid stenosis can have no symptoms, or have symptoms such as transient ischemic attacks (TIAs) or strokes. (wikipedia.org)
  • We have decided to make no changes in coverage of patient groups for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting (Medicare NCD Manual 20.7B3 and B). We have decided to retain our existing coverage policy with a slight revision to the language regarding embolic protection devices. (cms.gov)
  • These results imply that compared with the results of medical treatment, the procedure-related primary or secondary endpoint rate of elective stenting may be acceptable for patients with severe stenosis but may not be for patients with moderate stenosis,' they wrote. (patientcareonline.com)
  • the moderate-stenosis group included 94 stenoses in 92 patients. (patientcareonline.com)
  • 8.3% (95% CI 1.3% to 15.3%) at two years for the moderate stenosis group. (patientcareonline.com)
  • Indirectly compared with [that] trial, our results suggest that patients with severe stenosis seem to receive the benefit from elective stenting, whereas patients with moderate stenosis may not,' Dr. Jiang and colleagues wrote. (patientcareonline.com)
  • Stenting may benefit patients with RAS who have historically been excluded from modern clinical trials. (renalandurologynews.com)
  • Intracranial venous sinus stenting for benign intracranial hypertension: Clinical indications, technique, and preliminary results. (benthamscience.com)
  • Of the 181 patients who gave informed consent to participate, 71 did not meet the study eligibility criteria-with 75% deemed not to have angiographic evidence of ≥50% stenosis and clinical evidence of graft dysfunction-meaning 110 patients (mean age=64.3 years, 54.5% female, mean body mass index [BMI]=28.7kg/m 2 ) were ultimately enrolled and treated with the Covera device. (vascularnews.com)
  • Angioplasty and carotid stenting in patients with asymptomatic carotid atherosclerotic stenosis should not be performed except in the context of randomized clinical trials. (wikipedia.org)
  • [ 1 , 6 ] Other common indications for sialendoscopy include diagnostic evaluation of recurrent unexplained swelling of the major salivary glands associated with meals, ductal stenosis, and intraductal masses. (medscape.com)
  • Dr. Capoccia and coinvestigators found a 21% incidence of new cerebral ischemia on diffusion-weighted imaging after stenting. (medscape.com)
  • Background and Purpose: Cerebral Venous Sinus Stenosis (CVSS) usually results in severe Intracranial Hypertension (IH), which can be corrected by stenting immediately. (benthamscience.com)
  • Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis. (benthamscience.com)
  • Severe stenoses were also no more likely to cause 30-day emergent cerebral revascularization (HR 0.56, P=0.451) or asymptomatic subarachnoid hemorrhage (HR 0.01, P=0.446). (patientcareonline.com)
  • We describe our recent experience in the endovascular treatment by means of stent-assisted angioplasty with the aid of a filter cerebral protection device of eight patients presenting with radiation-induced carotid stenosis. (citationimpact.com)
  • Carotid angioplasty with cerebral protection can be performed safely in radiation-induced carotid stenosis with a high technical success rate. (citationimpact.com)
  • The Wingspan intracranial stent is another therapeutic option but there are limited data on the technical success of stenting and outcome of patients with 70% to 99% stenosis treated with a Wingspan stent. (nih.gov)
  • Venous Sinus Stenting for Low Pressure Gradient Stenoses in Idiopathic Intracranial Hypertension. (bvsalud.org)
  • Medically refractory idiopathic intracranial hypertension (IIH) is frequently treated with venous sinus stenosis stenting with high success rates. (bvsalud.org)
  • We will also correlate stenosis severity with longitudinal renal function and determine the value of stenting from the perspectives of quality of life and cost-effectiveness. (umn.edu)
  • Depending on the severity, doctors will use a combination of endoscopic techniques, surgical repair, tracheostomy, or deployment of stents to hold the airway open and enable breathing. (medicaldialogues.in)
  • From this point, the extent and the severity of the stenosis is assessed and stent parameters are obtained automatically. (uantwerpen.be)
  • Asymptomatic Carotid Stenosis: Medical Management or Revascularization? (jwatch.org)
  • Pediatric laryngotracheal stenosis (LTS), a narrowing of the airway in children, is a complex medical condition. (medicaldialogues.in)
  • These patients had carotid stenosis greater than 70% in the absence of symptoms. (medscape.com)
  • Whether renal artery stenting can improve symptoms in patients with heart failure over the long term is unknown. (renalandurologynews.com)
  • Recovery after carotid artery stenting depends not only on the presence of complications during the procedure, but also on the presence of symptoms at the time of arrival to the hospital. (wikipedia.org)
  • If cervical stenosis causes symptoms or uterine abnormalities (eg, hematometra, pyometra), cervical cytology and endometrial biopsy or dilation and curettage (D & C) should be done to exclude cancer. (msdmanuals.com)
  • If symptoms or uterine abnormalities (eg, hematometra, pyometra) are present, exclude cancer by cervical cytology and endometrial biopsy or D & C, then dilate the cervix and place a stent. (msdmanuals.com)
  • 27 patients (diabetes mellitus in 8 cases) were subjected to stenting of the stenotic renal artery while 19 patients (diabetes mellitus in 9 cases) were kept on medical treatment only. (biomedcentral.com)
  • In this study, the deployment of interwoven stent in a stenotic artery was evaluated through finite element analysis. (asme.org)
  • Stenting of RAS due to atherosclerosis is followed by stabilization or improvement of Ccr, mainly at the stented kidney, while contralateral renal function showed a decrease. (biomedcentral.com)
  • Similar evidence of new ischemia in the brain following carotid artery stenting in symptomatic patients is being picked up by investigators in other parts of the world," Dr. Moll stated. (medscape.com)
  • Patients with IH with low venous pressure gradient venous sinus stenosis seem to benefit equally from venous stenting compared with their higher gradient counterparts. (bvsalud.org)
  • Two symptomatic subarachnoid hemorrhages in the severe stenosis group versus none in the moderate group (HR 50.91, P=0.504). (patientcareonline.com)
  • Laryngeal and tracheal stents are solid or hollow absorbable or nonabsorbable tubes of various shapes, sizes, and materials. (medscape.com)
  • An image depicting laryngeal and tracheal stents can be seen below. (medscape.com)
  • The trans-femoral route is the traditional approach to carotid stenting. (wikipedia.org)
  • Are All Carotid Stenting Systems Equal? (jwatch.org)
  • Carotid Stenting: How Steep the Learning Curve? (jwatch.org)
  • In an observational study involving Medicare patients undergoing carotid stenting between 2005 and 2007, Dr. Brahmajee Nallamothu and colleagues showed that low annual operator volume and early experience are associated with increased 30-day mortality. (jwatch.org)
  • Nallamothu and colleagues have performed an observational analysis of Medicare data on fee-for-service beneficiaries undergoing carotid stenting between 2005 and 2007 in 306 hospital referral regions (HRRs). (jwatch.org)
  • Carotid stenting should not be performed in patients age 70 years or older, according to the results of a new meta-analysis appearing in the Lancet. (jwatch.org)
  • All the patients had a unilateral stenosis. (biomedcentral.com)
  • In unilateral stenosis, progression of disease may be survivable with loss of single-lung perfusion. (nih.gov)