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Routine MicroNET-covered embolic prevention stent system use for consecutive symptomatic and increased stroke-risk asymptomatic carotid stenosis revascularization : Twelve-month outcomes from the PARADIGM study .

DOI: 10.4244/EIJ-D-19-01014

1. Jagiellonian University Dept. of Cardiac & Vascular Diseases, John Paul II Hospital, Krakow, Poland, Poland
2. John Paul II Hospital Neurology Outpatient Dept., Krakow, Poland
3. KCRI Data Management Division, Krakow, Poland. Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
4. Jagiellonian University Dept. of Cardiac & Vascular Diseases, John Paul II Hospital, Krakow, Poland,
5. John Paul II Hospital Dept. of Vascular Surgery, Krakow, Poland

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Large clinical series of CAS using conventional carotid stents show that 40-80% adverse neurologic events within the first 30 days occur post- rather than intra-procedurally, and often several days after the procedure1. Indeed, first-generation carotid stent use is associated with post-procedural cerebral embolism2 that largely results from intra-luminal plaque prolapse through the struts3; a phenomenon not eliminated by the classic closed-cell design4.

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