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Patient demographics, procedural details, clinical complications, early in-stent thrombosis and occlusion rates, and late follow-up restenosis rates were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 428 patients were treated, 144 with the CGuard stent, 203 with CWS\u2009+\u2009BGC and 83 with CWS-BGC, the majority of patients for symptomatic stenoses. Technical success was achieved in 98.6% of CGuard patients. No clinical complications were observed in CGuard patients, however the clinical complication rate was 2.96% (6\/203) for CWS\u2009+\u2009BGC and 4.94% (4\/83) for CWS-BGC patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.052). The in-hospital stent occlusion rate was 0.69% (1\/144) for CGuard and 2.1% (6\/286) in CWS\u2009\u00b1\u2009BGC patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.49). On long-term follow-up (mean 9.9 months) the CGuard demonstrated a comparatively low rate of restenosis (6.25%) and retreatment (2.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CGuard dual-layer stent was safe and effective for carotid artery stenting in our series. Its design appears to contribute to a low risk of periprocedural complications, high technical success rate, while maintaining restenosis rates comparable to the Carotid Wallstent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00234-025-03764-1","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T14:24:09Z","timestamp":1757341449000},"page":"3239-3247","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative evaluation of the CGuard dual\u2212layer stent and Carotid Wallstent for elective carotid artery stenting: a retrospective multicenter study"],"prefix":"10.1007","volume":"67","author":[{"given":"Yves Leonard","family":"Voss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mousa","family":"Zidan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Radbruch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Dorn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannes","family":"Nordmeyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"3764_CR1","doi-asserted-by":"publisher","first-page":"2513","DOI":"10.1161\/01.STR.30.12.2513","volume":"30","author":"GW Petty","year":"1999","unstructured":"Petty GW, Brown RD, Whisnant JP et al (1999) Ischemic stroke subtypes: a population-based study of incidence and risk factors. 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YLV, MZ, AR, IF and HN declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict interests"}},{"value":"All procedures performed in studies involving human participants or on human tissue were in accordance with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Ethical approval was waived by the Ethics Committee of Bonn University, Germany. Due to the retrospective character of the data acquisition and analysis and emphasis on patient safety and quality control, written informed consent was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}