{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:33:50Z","timestamp":1760189630467,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,7,18]],"date-time":"2018-07-18T00:00:00Z","timestamp":1531872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Data regarding efficacy of various stent and embolic protection device (EPD) combinations to prevent stroke during carotid artery stenting (CAS) is limited. We compared post\u2010procedure inpatient neurologic outcomes across various carotid stent\u2010EPD platforms recorded in the Vascular Quality Initiative (VQI) registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed 13,786 consecutive CAS procedures in the VQI registry performed between January 1, 2005 and December 31, 2015. The most commonly used stent\u2010EPD combinations (<jats:italic>n<\/jats:italic>\u2009=\u20095407) were included in the analysis. Post\u2010procedure inpatient neurologic outcomes included (1) ipsilateral stroke\/transient ischemic attack (TIA) and (2) any stroke\/TIA. Multivariate generalized estimating equation regression analysis was performed, adjusting for age, sex, tobacco use, coronary artery disease, congestive heart failure, prior stroke\/TIA, hypertension, history of carotid revascularization, and presence of a second ipsilateral stenosis &gt;70%, to determine whether risk of outcomes differed according to device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 13,786 CAS procedures, Xact\u2010Emboshield (<jats:italic>n<\/jats:italic>\u2009=\u20092,438, 17.6%), Precise\u2010Angioguard (<jats:italic>n<\/jats:italic>\u2009=\u20091,480, 10.7%), Acculink\u2010Accunet (<jats:italic>n<\/jats:italic>\u2009=\u2009829, 6.01%), and Acculink\u2010Emboshield (<jats:italic>n<\/jats:italic>\u2009=\u2009660, 4.8%) were the most commonly used combinations, accounting for a total of 5,407 procedures. Inpatient event rates for ipsilateral stroke\/TIA and any stroke\/TIA were 1.9 and 2.7% in the Accunet\u2010Acculink, 3.0 and 3.2% in Acculink\u2010Emboshield, 3.2 and 4.1% in Precise\u2010Angioguard and 2.2 and 3.0% in Xact\u2010Emboshield. There was no evidence of difference in risk of ipsilateral stroke\/TIA or any stroke\/TIA across device combinations (<jats:italic>P<\/jats:italic>\u2009=\u20090.15 and <jats:italic>P<\/jats:italic>\u2009=\u20090.16, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CAS with current carotid stent\u2010EPD combinations is associated with low rates of inpatient stroke\/TIA. There is no statistically significant difference in rates of inpatient stroke\/TIA across device combinations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27646","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T01:53:12Z","timestamp":1531965192000},"page":"743-749","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of devices used in carotid artery stenting: A vascular quality initiative analysis of commonly used carotid stents and embolic protection devices"],"prefix":"10.1002","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2269-4181","authenticated-orcid":false,"given":"Ashwat S.","family":"Dhillon","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine University of Southern California Keck School of Medicine Los Angeles 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California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5450-3007","authenticated-orcid":false,"given":"Leonardo C.","family":"Clavijo","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Southern California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred A.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery University of Southern California Keck School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parveen","family":"Garg","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine University of Southern California Keck School of Medicine Los Angeles 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