Observations reveal higher stroke risk from plaque ulcers in closed stent design, suggesting double-layer stents may lower embolization risks.
DLS are associated with a higher rate of stent determined distal internal carotid kinking and residual plaque ulcers but demonstrate a protective effect, minimizing stroke risk from plaque ulcers compared to CSD. These findings support the use of DLS to reduce cerebral embolization.
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Poliseno et al. (2025) studied this question.
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