In-stent restenosis and stented-territory infarction after carotid and vertebrobasilar artery stenting
DC Field | Value | Language |
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dc.contributor.author | Ryu, Jae-Chan | - |
dc.contributor.author | Bae, Jae-Han | - |
dc.contributor.author | Ha, Sang Hee | - |
dc.contributor.author | Kwon, Boseong | - |
dc.contributor.author | Song, Yunsun | - |
dc.contributor.author | Lee, Deok Hee | - |
dc.contributor.author | Chang, Jun Young | - |
dc.contributor.author | Kang, Dong-Wha | - |
dc.contributor.author | Kwon, Sun U. | - |
dc.contributor.author | Kim, Jong S. | - |
dc.contributor.author | Kim, Bum Joon | - |
dc.date.accessioned | 2023-05-17T01:43:07Z | - |
dc.date.available | 2023-05-17T01:43:07Z | - |
dc.date.created | 2023-05-08 | - |
dc.date.issued | 2023-02 | - |
dc.identifier.issn | 1471-2377 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/87844 | - |
dc.description.abstract | BackgroundPrognosis after vertebrobasilar stenting (VBS) may differ from that after carotid artery stenting (CAS). Here, we directly compared the incidence and predictors of in-stent restenosis and stented-territory infarction after VBS and compared them with those of CAS.MethodsWe enrolled patients who underwent VBS or CAS. Clinical variables and procedure-related factors were obtained. During the 3 years of follow-up, in-stent restenosis and infarction were investigated in each group. In-stent restenosis was defined as reduction in the lumen diameter > 50% compared with that after stenting. Factors associated with the occurrence of in-stent restenosis and stented-territory infarction in VBS and CAS were compared.ResultsAmong 417 stent insertions (93 VBS and 324 CAS), there was no statistical difference in in-stent restenosis between VBS and CAS (12.9% vs. 6.8%, P = 0.092). However, stented-territory infarction was more frequently observed in VBS than in CAS (22.6% vs. 10.8%; P = 0.006), especially a month after stent insertion. HbA1c level, clopidogrel resistance, and multiple stents in VBS and young age in CAS increased the risk of in-stent restenosis. Diabetes (3.82 [1.24-11.7]) and multiple stents (22.4 [2.4-206.4]) were associated with stented-territory infarction in VBS. However, in-stent restenosis (odds ratio: 15.1, 95% confidence interval: 3.17-72.2) was associated with stented-territory infarction in CAS.ConclusionsStented-territory infarction occurred more frequently in VBS, especially after the periprocedural period. In-stent restenosis was associated with stented-territory infarction after CAS, but not in VBS. The mechanism of stented-territory infarction after VBS may be different from that after CAS. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.relation.isPartOf | BMC NEUROLOGY | - |
dc.title | In-stent restenosis and stented-territory infarction after carotid and vertebrobasilar artery stenting | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000944561300001 | - |
dc.identifier.doi | 10.1186/s12883-023-03110-z | - |
dc.identifier.bibliographicCitation | BMC NEUROLOGY, v.23, no.1 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85148388928 | - |
dc.citation.title | BMC NEUROLOGY | - |
dc.citation.volume | 23 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | Ha, Sang Hee | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | In-stent restenosis | - |
dc.subject.keywordAuthor | Ischemic stroke | - |
dc.subject.keywordAuthor | Carotid stent | - |
dc.subject.keywordAuthor | Vertebrobasilar stent | - |
dc.subject.keywordPlus | STENOSIS | - |
dc.subject.keywordPlus | ENDARTERECTOMY | - |
dc.subject.keywordPlus | STROKE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | RISK | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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