ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025
Carotid artery stenting for heavily calcified lesions after plaque modification using scoring balloon angioplasty.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Endovascular treatment strategies in highly-calcified carotid stenoses.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026Article
- Factors associated with restenosis after carotid artery stenting differ between closed-cell and open-cell stents.Frontiers in neurology · 2025Article
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12 authors.
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Abstract
BackgroundCarotid artery stenting (CAS) for heavily calcified lesions (HCLs) presents technical challenges. The NSE PTA balloon (Nipro, Osaka, Japan), a scoring balloon designed for plaque modification, is commonly used in coronary and peripheral interventions. This study evaluated the feasibility and safety of using this balloon in CAS for HCLs.MethodsWe retrospectively analyzed 10 CAS procedures using the NSE PTA balloon for carotid artery stenosis with HCLs. Inclusion criteria were concentric calcified lesions occupying ≥270° of the vessel circumference. Efficacy outcomes included procedural success rate, stenosis improvement after NSE PTA (plaque modification prior to stenting), final residual stenosis, and 6-month restenosis. Safety outcomes included 30-day major adverse events and secondary outcomes, including severe bradycardia and hypotension.ResultsThe median patient age was 77 years (interquartile range: 74-83), with 90% male, and the median arc of calcification was 311° (294-334°). All 10 procedures achieved technical success. The median stenosis rate improved significantly from 86% (80-87%) preprocedure to 67% (60-69%) post-NSE PTA (
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