Evidence map›Paper›PMID 36229946›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

PERFORMANCE 1 study: Novel carotid stent system with integrated post-dilation balloon and embolic protection device.

Ralf Langhoff, Ivo Petrov, Sasko Kedev, Zoran Milosevic, Andrej Schmidt, Dierk Scheinert, Joachim Schofer, Horst Sievert, Gerald Sedgewick, Elizabeth Saylors and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04142541 (Protection Against Emboli During Carotid Artery Stenting Using a 3-in-1delivery System Comprised of a Post-dilation Balloon, Integrated Embolic Filter, and a Novel Carotid Stent), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04142541 nacompletednot on this map

Protection Against Emboli During Carotid Artery Stenting Using a 3-in-1delivery System Comprised of a Post-dilation Balloon, Integrated Embolic Filter, and a Novel Carotid Stent (PERFORMANCE 1 Trial)

TypeinterventionalSponsorContego Medical, Inc.Ran2018 to 2020Enrolled67ConditionsCarotid Artery StenosisArmsNeuroguard® IEP 3-in-1 Carotid Stent and Post-Dilation Balloon System with Integrated Embolic Protection (Neuroguard IEP System)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. PERFORMANCE 1 study: Novel carotid stent system with integrated post-dilation balloon and embolic protection device.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 6 countries.

Ralf LanghoffDepartment for Angiology, Brandenburg Medical School Theodor Fontane, Campus Clinic Brandenburg, Center for Internal Medicine I, Berlin, Germany.ORCID 0000-0003-0455-5081
Ivo PetrovCardiology and Angiology Department at Acibadem City Clinic Cardiovascular Center, Sofia, Bulgaria.ORCID 0000-0002-9989-0730
Sasko KedevUniversity Clinic of Cardiology Medical Faculty University "Ss. Cyril and Methodius" Skopje, Skopje, Macedonia.ORCID 0000-0003-4844-6434
Zoran MilosevicDepartment of Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Andrej SchmidtClinic for Angiology, University Hospital Leipzig, Leipzig, Germany.
Dierk ScheinertClinic for Angiology, University Hospital Leipzig, Leipzig, Germany.
Joachim SchoferMedizinisches Versorgungszentrum, Hamburg, Germany.
Horst SievertCardioVascular Center Frankfurt (CVC), Frankfurt, Germany.
Gerald SedgewickImaging and Analysis, LLC, Saint Paul, Minnesota, USA.
Elizabeth SaylorsContego Medical, Inc, Raleigh, North Carolina, USA.ORCID 0000-0002-9468-1825
Ravish SacharContego Medical, Inc, Raleigh, North Carolina, USA.
Alberto CremonesiDepartment of Cardiology, Humanitas Gavazzeni, Bergamo, Italy.
Antonio MicariDepartment of Cardiology, University of Messina, Messina, Italy.
University Hospital Leipzig · DEAcibadem City Clinic · BGCardiovascular Center Frankfurt · DECenter for HIV and Hepatogastroenterology · DEContego Medical (United States) · USHumanitas Gavazzeni · ITLjubljana University Medical Centre · SIRex Hospital · USSankt Gertrauden Krankenhaus · DESs. Cyril and Methodius University in Skopje · MKUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe PERFORMANCE I study was designed to evaluate the safety and feasibility of the Neuroguard IEP® System, a novel carotid stent system with an integrated embolic filter and post-dilatation balloon, to treat clinically significant carotid artery stenosis.

backgroundThe risk of major adverse events during carotid artery stenting is comparable to carotid endarterectomy, however, the risk of minor stroke remains higher with stenting.

methodsIn total, 67 patients undergoing carotid artery stenting were enrolled at nine centers in Europe. Follow-up assessments included neurological exams, duplex ultrasound, 12-lead electrocardiogram, and cardiac enzyme analysis. The primary endpoint was the 30-day composite rate of stroke, death, and myocardial infarctions versus a prespecified performance goal. Secondary endpoints included procedure success, device success, and target lesion revascularization.

resultsThe study population was predominantly male (74.6%) with a mean age of 69.3 ± 8.9 years and 67% of subjects met at least one criterion placing them at an elevated risk for adverse events following carotid endarterectomy. All patients were treated successfully with the study device. There were no deaths or strokes within 30 days of the index procedure. One subject (1.5%) experienced a non-ST elevation myocardial infarction at day 17. The primary endpoint was met with a 30-day major adverse events rate of 1.5% (1/67). Through 12-month follow-up, there were no strokes, neurological deaths, target lesion revascularizations, or instances of in-stent-restenosis.

conclusionsResults from this study demonstrate the Neuroguard IEP system is safe and feasible with a stroke/death rate of 0% at 30 days. A large pivotal study is currently underway.

Indexed as

Carotid StenosisEmbolic Protection DevicesEndarterectomy, CarotidStrokeAgedDilatationFemaleHumansMaleMiddle AgedRisk FactorsStentsTime FactorsTreatment Outcomecarotid artery stentingcerebral embolic protectionperiprocedural stroke

Identifiers

PMID36229946
PMCPMC10092178
OpenAlexW4306158031

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 OpenQuestion graph.