Compliance matching stent placement in the carotid artery of the swine promotes optimal blood flow and attenuates restenosis. Academic Article uri icon

abstract

  • OBJECTIVES: We assessed the value of a gradient-compliant stent in an animal model. METHODS: Bilateral carotid arteries were stented with nitinol stents having variable-oversizing, variable-stiffness, and with (CMS, 10 animals) and without (SMART, four animals) compliance-matching endings. Angiography, hemodynamic, scanning-electron-microscopic and histological analyses were performed at 3-month. The protocol was completed in 14 among 19 swines. RESULTS: Transient (1-month) exaggerated recoil, attributable to stress-induced phasic inhibition of vasorelaxation, developed at CMS endings. At mid-term, all stents were endothelialized; CMS-stents, but not SMART-stents, were incorporated into walls (one-strut-thickness). Restenosis developed outside SMART-stents (cell migration+wall-compensatory enlargement) whereas CMS-stents elicited no or focalized cell-accumulations at endings that bulged vascular walls radially outward. SMART-stents were blood-flow neutral, whereas CMS-stents favored (higher-stiffness, higher-oversizing) or opposed (lower-stiffness, less-oversizing) carotid blood flow. CONCLUSIONS: Direct carotid stenting with stents having compliance-matched endings and specific requirements of stiffness and oversizing can optimize blood flow to the brain and restrict local restenosis.

published proceedings

  • Eur J Vasc Endovasc Surg

altmetric score

  • 3

author list (cited authors)

  • Rolland, P. H., Mekkaoui, C., Vidal, V., Berry, J. L., Moore, J. E., Moreno, M., Amabile, P., & Bartoli, J. M.

citation count

  • 21

complete list of authors

  • Rolland, PH||Mekkaoui, C||Vidal, V||Berry, JL||Moore, JE||Moreno, M||Amabile, P||Bartoli, JM

publication date

  • January 2004