SDjustafterCASaccordingtostenttypes.pptVIP

Abstract Spontaneous Dilatation of Stents at Three Months after Carotid Artery Stenting without post-CAS Balloon Dilatation YUHEI TANNO, Takahisa Mori, Tomonori Iwata, Yoshinori Aoyagi, Shigen Kasakura, Kazuhiro Yoshioka Department of Stroke Treatment Shonan Kamakura General Hospital Stroke Center, Kamakura, Japan EP-13 Financial Disclosures None 【Purpose】 Just after CAS 3 months after CAS Stent diameter (SD):3.02mm SD:4.72mm Do stents spontaneously dilate after CAS? 【Materials and Methods】 We included in our analysis patients 1) who underwent elective CAS without post-CAS balloon dilatation from January 2012 to March 2014, 2) who underwent follow-up conventional angiography at 3 months after CAS. 【Evaluation】 Patients features Measurement of stent diameter (SD) Comparison of SD between at CAS and at 3M Patients matched to criteria, no 68 CAS procedures matched to criteria, no 71 Age, average (years） 74.8 Sex, female, no (％) 12/68（17.6%） Closed-cell type (CL type) stent, no (％) 53/71 (74.6%) Open-cell type (OP type) stent, no (％) 18/71 (25.4%) SD just after CAS, median,(IQR) (mm) 3.27 (3.06-3.68) SD at 3 months, median,(IQR) (mm) 3.99 (3.58-4.30) 【Results】 【SD dilatation at 3M after CAS】 p0.0001 Just after CAS CAS at 3M SD（mm） (By Wilcoxon signed-rank test) In 62 cases 3.27mm 3.99mm 【SD just after CAS according to stent types】 CL type OP type P0.05 SD (mm) (By Wilcoxon rank sum test) 3.22mm 3.59mm 【SD at 3M according to stent types】 OP type CL type P0.01 SD (mm) (By Wilcoxon rank sum test) 3.86mm 4.05mm 【Changes of SD in CL or OP type】 CL type OP type Differenece of median SD in CL; 0.64mm Differenece of median SD in OP; 0.46mm Just after CAS Just after CAS 3M 3M SD (mm) N.S. N.S. : p0.05 CAS With an Open Type Stent At 3M Before CAS Just after CAS 4.09mm 6.55mm CAS with a Closed Type Stent Before CAS Just after CAS At 3M 3.02mm 4.72mm 【Conclusion】 ? Stents spontaneously dilated by about 10 to 20% without post-CAS balloon dilatation. ? Stent dia