Follow-up Optical Coherence Tomography Evaluation of Endothelialization in Drug-eluting Stents for Symptomatic Vertebral Artery Stenosis: a Report of Nine Cases
摘要
This study aimed to assess the endothelialization of drug-eluting stents (DES) 3 months after implantation for the treatment of symptomatic vertebral artery stenosis using endovascular optical coherence tomography (OCT).
MethodsBetween March and May 2024, OCT was performed on patients 3 months (90 ± 7 days) after undergoing surgery for stent implantation at the vertebral artery ostium in our center.
ResultsNine DES were implanted in nine patients. The mean follow-up period was 95.6 ± 12.6 days. OCT findings showed the vertebral artery lumen with fully endothelialized stent struts covered by neointima in all nine patients 3 months after implantation, indicating complete endothelialization.
ConclusionsComplete endothelialization of vertebral artery DES occurred 3 months after implantation, providing a theoretical basis for potentially reducing the duration of DAPT 3 months. Further clinical studies are essential to validate these findings.