Prospective multicentre study of carotid artery stenting using the MER™ Stent - the OCEANUS study - 30-day and one-year follow-up results.

carotid artery stenosis carotid artery stenting open-cell stent self-expanding carotid stents

Journal

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
ISSN: 1734-9338
Titre abrégé: Postepy Kardiol Interwencyjnej
Pays: Poland
ID NLM: 101272671

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 09 08 2019
accepted: 03 10 2019
entrez: 6 5 2020
pubmed: 6 5 2020
medline: 6 5 2020
Statut: ppublish

Résumé

Constant technological progress in the field of carotid stenting translates into improved short- and long-term results of endovascular treatment. The introduction of a new generation, self-expanding, open-cell stent has provided a new treatment option in endovascular management of carotid stenosis. To evaluate 30-day and 1-year clinical outcomes of non-consecutive patients with high risk of carotid endarterectomy, who underwent 5F cylinder-tapered MER™ open-cell carotid stent implantation. It was a single-arm, prospective study conducted in four experienced catheterisation centres. The use of embolic protection devices was mandatory. The primary endpoint was stroke in 30-day follow-up. The secondary endpoints were 30-day and 1-year cumulative incidence of death, stroke and myocardial infarction, 1-year target vessel revascularisation, procedural success (residual stenosis ≤ 30%), restenosis rate (%DS ≥ 50%), and Serious Adverse Device Effect (SADE) rate in 1-year follow-up. In total 100 patients were recruited for the study, with the majority being males ( The OCEANUS study indicated the safety and efficacy of the MER™ stent during 30-day and 1-year follow-up in both symptomatic and asymptomatic patients. The majority of patients were event-free. However, larger cohort studies are needed to evaluate MER™ stents in detail.

Identifiants

pubmed: 32368230
doi: 10.5114/aic.2019.91364
pii: 39466
pmc: PMC7189137
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-9

Informations de copyright

Copyright: © 2019 Termedia Sp. z o. o.

Déclaration de conflit d'intérêts

This study was sponsored by Balton, Warsaw, Poland. PP and AK received lecture honoraria and travel grants from Balton. No other conflicts of interest exist in relation to the presented data.

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Auteurs

Piotr Pieniążek (P)

Department of Vascular Surgery Division on Endovascular Therapy, John Paul II Hospital, Krakow, Poland.
Department of Cardiac and Vascular Disease, Institute of Cardiology, Jagiellonian University, School of Medicine, Krakow, Poland.

Przemysław Nowakowski (P)

Department of Vascular Surgery, American Heart of Poland, Chrzanow, Poland.
University of Technology, Katowice, Poland.

Krzysztof Ziaja (K)

Department of General and Vascular Surgery, Angiology, and Phlebology, Medical University of Silesia, Katowice, Poland.

Adam Kobayashi (A)

Institute of Psychiatry and Neurology, 2 Department of Neurology, Warsaw, Poland.

Wojciech Uchto (W)

Department of Vascular Surgery, American Heart of Poland, Chrzanow, Poland.

Jakub Sulżenko (J)

Cardiocentre, University Hospital Kralovske Vinohrady and Third Faculty of Medicine, Charles University Prague, Czech Republic.

Roman Machnik (R)

Department of Vascular Surgery Division on Endovascular Therapy, John Paul II Hospital, Krakow, Poland.

Łukasz Tekieli (Ł)

Department of Vascular Surgery Division on Endovascular Therapy, John Paul II Hospital, Krakow, Poland.
Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University, Medical College, Krakow, Poland.

Dariusz Stańczyk (D)

Department of General and Vascular Surgery, Angiology, and Phlebology, Medical University of Silesia, Katowice, Poland.

Krzysztof Plens (K)

KCRI, Krakow, Poland.

Wojciech Zasada (W)

KCRI, Krakow, Poland.

Artur Dziewierz (A)

2 Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Damian Ziaja (D)

Department of Physiotherapy, School of Health Science in Katowice, Medical University of Silesia, Katowice, Poland.

Classifications MeSH