Evidence map›Paper›PMID 40920456›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

Bending stiffness and trackability of carotid stent delivery systems: Bench-top insights for neurointerventional practice.

Daisuke Yamazaki, Yoshiki Hanaoka, Tetsuyoshi Horiuchi

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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. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Daisuke YamazakiDepartment of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0003-4981-3056
Yoshiki HanaokaDepartment of Neurosurgery, Ina Central Hospital, Ina, Japan.ORCID 0000-0002-9288-1612
Tetsuyoshi HoriuchiDepartment of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0001-5620-510X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundA stable guiding system is essential for successful carotid artery stenting (CAS), particularly when navigating tortuous aortic or supra-aortic anatomy. However, data on the mechanical behavior of stent delivery systems remain scarce.ObjectiveTo assess and compare the bending stiffness and trackability of five commercially available carotid stent delivery systems using bench-top experiments.MethodsFive stent systems-CASPER RX, PRECISE PRO RX, PROTÉGÉ RX, PROTÉGÉ RX Tapered, and Carotid WALLSTENT-were evaluated. Bending stiffness was measured via a three-point bending test along a 20 cm length from the distal tip. Trackability was assessed by measuring resistance force during simulated advancement through a 6F guiding sheath within a 90° angulated vessel model.ResultsCASPER RX demonstrated the lowest bending stiffness in the stent-mounted segment (85-118 cN), whereas the Carotid WALLSTENT had the lowest stiffness in the delivery-shaft segment (120-180 cN). Systems with higher bending stiffness exhibited increased resistance during trackability testing. A correlation between increased bending stiffness and higher advancement resistance was observed across all platforms.ConclusionsCarotid stent delivery systems exhibit diverse mechanical behaviors that impact navigability through tortuous anatomy. Awareness of these mechanical properties can inform device selection and technique optimization during transradial or anatomically challenging CAS procedures.

Indexed as

Carotid artery stentingclosed-cell stentopen-cell stent

Identifiers

PMID40920456
PMCPMC12417441

What Socratic holds

Textmetadata
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.