{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:11:30Z","timestamp":1790892690569,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Purpose: To investigate the possible role of stent selection and procedure-related vessel diameter changes in the development of persisting hemodynamic depression (PHD) and to demonstrate the effectiveness and safety of permanent pacemaker implantation in patients with refractory PHD. Methods: Data from 584 procedures performed in 542 patients (398 men; mean age 67.3 years) between 2008 and 2011 using Wallstent, Precise, and Xact stents in a nonrandomized fashion were analyzed retrospectively. Cardiovascular risk factors and lesion, stent, and balloon characteristics were collected, and the pre- and postprocedure diameters of the common carotid artery (CCA) and internal carotid artery were measured. PHD was defined as any episode of hypotension (systolic blood pressure &lt;90 mm Hg) and\/or bradycardia (heart rate &lt;60\/min) lasting &gt;6 hours. Risk factors for PHD were sought using logistic regression analyses; the results are presented as the odds ratio (OR) and 95% confidence interval (CI). Results: The incidence of PHD was 37.0% (216\/584). Refractory PHD was encountered in 9 patients; among these, 6 were successfully treated with pacemaker implantation. A history of prior ipsilateral carotid endarterectomy (OR 0.44, 95% CI 0.22 to 0.87, p=0.019) and the presence of a contralateral high-grade stenosis (OR 0.12, 95% CI 0.02 to 0.95, p=0.045) were independent protective factors, while calcification (OR 1.5, 95% CI 1.03 to 2.18, p=0.034), involvement of the carotid bulb (OR 2.56, 95% 1.62 to 4.03, p&lt;0.001), and implantation of a nitinol stent (adjusted OR 1.62, 95% CI 1.12 to 2.34, p=0.011) were independent risk factors for developing PHD after carotid artery stenting. The ratio of the post-\/preprocedure CCA diameter (p=0.002), the stent to CCA diameter ratio (p=0.009), and the presence of residual stenosis (p=0.009) were significantly higher in the PHD group. Conclusion: Stent selection and procedure-related changes in vessel diameter may have an influence on the development of PHD. Permanent pacemaker implantation is an effective treatment option in patients with refractory PHD.<\/jats:p>","DOI":"10.1177\/1526602814566404","type":"journal-article","created":{"date-parts":[[2015,3,20]],"date-time":"2015-03-20T21:31:11Z","timestamp":1426887071000},"page":"122-129","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Role of Stent Selection in the Incidence of Persisting Hemodynamic Depression After Carotid Artery Stenting"],"prefix":"10.1177","volume":"22","author":[{"given":"Csaba","family":"Csobay-Nov\u00e1k","sequence":"first","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"B\u00e1r\u00e1ny","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Endre","family":"Zima","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Nemes","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la","family":"Merkely","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e1lm\u00e1n","family":"H\u00fcttl","sequence":"additional","affiliation":[{"name":"Heart and Vascular Center, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,2,1]]},"reference":[{"key":"bibr1-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1177\/152660280301000501"},{"key":"bibr2-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1583\/12-4015.1"},{"key":"bibr3-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.215.3.r00jn04677"},{"key":"bibr4-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.08.079"},{"key":"bibr5-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.10.020"},{"key":"bibr6-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1159\/000070595"},{"key":"bibr7-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000177890.30065.cb"},{"key":"bibr8-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.11.134"},{"key":"bibr9-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.10.2086"},{"key":"bibr10-1526602814566404","first-page":"1320","volume":"44","author":"Qureshi AI","year":"1999","journal-title":"Neurosurgery"},{"key":"bibr11-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10483"},{"key":"bibr12-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2007.09.020"},{"key":"bibr13-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.07.020"},{"key":"bibr14-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.06.004"},{"key":"bibr15-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.autneu.2010.06.009"},{"key":"bibr16-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1583\/11-3516R.1"},{"key":"bibr17-1526602814566404","first-page":"357","volume":"50","author":"Setacci F","year":"2009","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr18-1526602814566404","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.51.556"},{"key":"bibr19-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1583\/08-2539.1"},{"key":"bibr20-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.01.450"},{"key":"bibr21-1526602814566404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.01.016"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602814566404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602814566404","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602814566404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:27:57Z","timestamp":1777498077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602814566404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1177\/1526602814566404"],"URL":"https:\/\/doi.org\/10.1177\/1526602814566404","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2]]}}}