ArticleStroke (Hoboken, N.J.)2025
Improving Measurement Accuracy of the Degree of Carotid In-Stent Stenosis Using CT Angiography: A Comparison With DSA.
Article in Stroke (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Computed tomography angiography (CTA) tends to overestimate restenosis after cervical carotid stenting because of the substantial blooming artifacts from metallic stent materials. Hence, we propose a new measurement method to address this issue and assess the accuracy and reliability of evaluating the degree of in-stent stenosis (ISS) compared with digital subtraction angiography (DSA) as a post-hoc analysis of the CAS-CARE (Carotid Artery Stenting with the Cilostazol Addition for Restenosis) trial. Methods: Among the image data registered for the trial, 197 paired data sets of poststenting images obtained using both CTA and DSA were used. We measured the ISS degree according to the NASCET (North American Symptomatic Carotid Endarterectomy Trial) criteria with the conventional and new methods using the inner edge and midportion of the stent materials as a boundary to the lumen and compared the stenotic severities with those obtained from DSA. Results: The ISS degrees measured using CTA with the conventional method were remarkably higher than those measured using CTA with the new method and DSA (median, 49.5% versus 11.3% and 9.8%; Conclusion: Measurement using CTA with the midportion of the stent materials significantly improved the accuracy of the ISS degree, which was comparable to that using DSA.
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