MRI Outcomes Achieved by Simple Flow ...
Type de document :
Article dans une revue scientifique: Article original
DOI :
PMID :
URL permanente :
Titre :
MRI Outcomes Achieved by Simple Flow Blockage Technique in Symptomatic Carotid Artery Stenosis Stenting.
Auteur(s) :
Hak, Jean-François [Auteur]
Laboratoire d'Imagerie Interventionnelle Expérimentale [LIIE]
Centre Européen de Recherche en Imagerie médicale [CERIMED]
Arquizan, Caroline [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Cagnazzo, Federico [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Mahmoudi, Mehdi [Auteur]
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Collemiche, François-Louis [Auteur]
Gascou, Gregory [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Lefevre, Pierre-Henri [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Derraz, Imad [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Mourand, Isabelle [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Gaillard, Nicolas [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Corti, Lucas [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Charif, Mahmoud [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Costalat, Vincent [Auteur]
Dargazanli, Cyril [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Laboratoire d'Imagerie Interventionnelle Expérimentale [LIIE]
Centre Européen de Recherche en Imagerie médicale [CERIMED]
Arquizan, Caroline [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Cagnazzo, Federico [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Mahmoudi, Mehdi [Auteur]
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Collemiche, François-Louis [Auteur]
Gascou, Gregory [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Lefevre, Pierre-Henri [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Derraz, Imad [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Mourand, Isabelle [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Gaillard, Nicolas [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Corti, Lucas [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Charif, Mahmoud [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Costalat, Vincent [Auteur]
Dargazanli, Cyril [Auteur]
Hôpital Gui de Chauliac [CHU Montpellier]
Titre de la revue :
Journal of Personalized Medicine
Nom court de la revue :
J Pers Med
Numéro :
12
Date de publication :
2022-10-29
ISSN :
2075-4426
Mot(s)-clé(s) en anglais :
carotid
endovascular
stents
magnetic resonance imaging
diffusion-weighted-imaging
endovascular
stents
magnetic resonance imaging
diffusion-weighted-imaging
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
In this study, we aimed to determine the frequency and clinical impact of new ischemic lesions detected with diffusion-weighted-imaging-MRI (DWI-MRI) as well as the clinical outcomes after carotid artery stenting (CAS) ...
Lire la suite >In this study, we aimed to determine the frequency and clinical impact of new ischemic lesions detected with diffusion-weighted-imaging-MRI (DWI-MRI) as well as the clinical outcomes after carotid artery stenting (CAS) using the simple flow blockage technique (SFB). This is a retrospective study with data extraction from a monocentric prospective clinical registry (from 2017 to 2019) of consecutive patients admitted for symptomatic cervical ICA stenosis or web. Herein, patients benefited from DWI-MRI before and within 48 h of CAS for symptomatic ICA stenosis or web. The primary endpoint was the frequency of new DWI-MRI ischemic lesions and the secondary (composite) endpoint was the rate of mortality, symptomatic stroke or acute coronary syndrome within 30 days of the procedure. All of the 82 CAS procedures were successfully performed. Among the 33 patients (40.2%) with new DWI-MRI ischemic lesions, 30 patients were asymptomatic (90.9%). Irregular carotid plaque surface with (n = 13, 44.8%) or without ulceration (n = 12, 60.0%) was associated with higher rates of new DWI-MRI lesions by comparison to patients with a regular plaque (n = 7, 25%) (p = 0.048) using the univariate analysis. Less than half of this CAS cohort using the SFB technique had new ischemic lesions detected with DWI-MRI. Among these patients, more than 90% were asymptomatic. Irregularity of the plaque seems to increase the risk of peri-procedural DWI-MRI lesions.Lire moins >
Lire la suite >In this study, we aimed to determine the frequency and clinical impact of new ischemic lesions detected with diffusion-weighted-imaging-MRI (DWI-MRI) as well as the clinical outcomes after carotid artery stenting (CAS) using the simple flow blockage technique (SFB). This is a retrospective study with data extraction from a monocentric prospective clinical registry (from 2017 to 2019) of consecutive patients admitted for symptomatic cervical ICA stenosis or web. Herein, patients benefited from DWI-MRI before and within 48 h of CAS for symptomatic ICA stenosis or web. The primary endpoint was the frequency of new DWI-MRI ischemic lesions and the secondary (composite) endpoint was the rate of mortality, symptomatic stroke or acute coronary syndrome within 30 days of the procedure. All of the 82 CAS procedures were successfully performed. Among the 33 patients (40.2%) with new DWI-MRI ischemic lesions, 30 patients were asymptomatic (90.9%). Irregular carotid plaque surface with (n = 13, 44.8%) or without ulceration (n = 12, 60.0%) was associated with higher rates of new DWI-MRI lesions by comparison to patients with a regular plaque (n = 7, 25%) (p = 0.048) using the univariate analysis. Less than half of this CAS cohort using the SFB technique had new ischemic lesions detected with DWI-MRI. Among these patients, more than 90% were asymptomatic. Irregularity of the plaque seems to increase the risk of peri-procedural DWI-MRI lesions.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T03:06:52Z
2024-05-06T07:51:51Z
2024-05-06T07:51:51Z
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