Plaque Prolapse in Carotid Artery Stenting: Mechanisms, Imaging and Device-Based Prevention

Luca Galassi, Leonardo Pasquetti, Federica Facchinetti, Rebecca Magugliani, Elena Goldoni, Edoardo Pasqui, Giovanni Nano, Gianmarco de Donato · 2026

Read Plaque Prolapse in Carotid Artery Stenting: Mechanisms, Imaging and Device-Based Prevention by Luca Galassi, Leonardo Pasquetti, Federica Facchinetti, Rebecca Magugliani, Elena Goldoni, Edoardo Pasqui, Giovanni Nano, Gianmarco de Donato (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13414423.txt.

Description

Luca Galassi and co-authors review in 2026 how to stop plaque squeezing through carotid stent struts during stenting, a mechanism behind strokes around the procedure. This prolapse pushes soft atherosclerotic material into the bloodstream exactly where filters may miss it. Drawing on registries, comparative cohorts, and vessel-wall imaging studies, the narrative review maps what drives prolapse risk: plaque character, procedural choices, and above all the stent's design.

Dual-layer micromesh stents emerge as the most advanced defence in their synthesis. Combined with embolic protection, pooled data put thirty-day stroke near 1.4 percent for that technology. Optical imaging confirms less prolapse than single-layer designs show. The authors ask for shared imaging definitions and properly powered randomized trials with hard endpoints.

Catalog record

CREATORLuca Galassi, Leonardo Pasquetti, Federica Facchinetti, Rebecca Magugliani, Elena Goldoni, Edoardo Pasqui, Giovanni Nano, Gianmarco de Donato
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE55170
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13414423

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