Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results

Paweł Latacz; Marian Simka; Paweł Brzegowy; Agnieszka Słowik; Tadeusz Popiela

doi:10.5114/aic.2019.84409

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Original paper

Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results

Paweł Latacz

¹

,

Marian Simka

²

,

Paweł Brzegowy

³

,

Agnieszka Słowik

¹

,

Tadeusz Popiela

³

Department of Neurology, Jagiellonian University Medical College, Krakow, Poland
Department of Anatomy, University of Opole, Opole, Poland
Chair of Radiology, Jagiellonian University Medical College, Krakow, Poland

Adv Interv Cardiol 2019; 15, 3 (57): 321–327

DOI: https://doi.org/10.5114/aic.2019.84409

Online publish date: 2019/04/09

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AMA

Latacz P, Simka M, Brzegowy P, Słowik A, Popiela T. Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(3):321-327. doi:10.5114/aic.2019.84409.

APA

Latacz, P., Simka, M., Brzegowy, P., Słowik, A.,  & Popiela, T. (2019). Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(3), 321-327. https://doi.org/10.5114/aic.2019.84409

Chicago

Latacz, Paweł, Marian Simka, Paweł Brzegowy, Agnieszka Słowik,  and Tadeusz Popiela. 2019. "Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 15 (3): 321-327. doi:10.5114/aic.2019.84409.

Harvard

Latacz, P., Simka, M., Brzegowy, P., Słowik, A.,  and Popiela, T. (2019). Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(3), pp.321-327. https://doi.org/10.5114/aic.2019.84409

MLA

Latacz, Paweł et al. "Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 15, no. 3, 2019, pp. 321-327. doi:10.5114/aic.2019.84409.

Vancouver

Latacz P, Simka M, Brzegowy P, Słowik A, Popiela T. Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(3):321-327. doi:10.5114/aic.2019.84409.

Introduction
Symptomatic dissections (SD) of cervical arteries are still a therapeutic problem. Although endovascular management (EM) is currently a preferred method of treatment of SD, complications associated with this method of treatment in published reports are quite frequent (3–16%).

Aim
In this retrospective study we analyzed the results of EM with novel, double-mesh stent and protection systems (PS) for SD of the internal carotid (IC) or vertebral arteries (VA) that coexisted with hemodynamically significant stenosis or aneurysmatic dilatation of the dissected artery.

Material and methods
We evaluated the results of EM in 19 patients (men 15, median age: 55, range: 25–83), presenting with SD of the IC or VA with coexisting stenosis and/or aneurysmatic dilatation of the artery in segments C1-C5 of IC or V0-V4 of VA. Twelve patients had a stroke, 6 TIA, and 3 patients a headache and/or a neck pain with Horner syndrome. Stents and PS were tailored according to the location, length of dissection and coexisting stenotic or aneurysmatic lesions.

Results
There were no new strokes, in-hospital deaths or other serious morbidities during the procedure and postprocedural hospital stay. There were no fatalities during 6–40 months of follow-up. In control angiographies performed after interventions all patients demonstrated a patent target artery, complete coverage of the dissection and aneurysm by stents and no new lesions in the area of the previous dissection.

Conclusions
The results of this study indicate that EM of SD of IC and VA with the new stents and PS is safe and effective with good early and midterm results.

keywords:

Endovascular management of carotid and vertebral artery dissections with new generation double-mesh stent and protection systems – single-center early and midterm results

Paweł Latacz 1 , Marian Simka 2 , Paweł Brzegowy 3 , Agnieszka Słowik 1 , Tadeusz Popiela 3

carotid artery, dissection, protection system, double-mesh stent

Paweł Latacz

¹

,

Marian Simka

²

,

Paweł Brzegowy

³

,

Agnieszka Słowik

¹

,

Tadeusz Popiela

³