Altunova, MehmetYalcın, Ahmet ArıfIşık, AyanPıskın, Ferhat CanUzun, NedimSahın, AnılDemir, YusufAtmaca, SezginDemirci, GökhanErturk, Mehmet2025-04-182025-04-1823.10.2024ALTUNOVA, M., YALCIN, A. A., IŞIK, A., PISKIN, F. C., UZUN, N., SAHIN, A., DEMIR, Y., ATMACA, S., DEMIRCI, G., ERTURK, M. (2024). Investigating the Frequency of Stent Fracture and its Impact on in-Stent Restenosis in Patients Undergoing Carotid Artery Stenting. Bezmiâlem Science , 12(3), 374 - 381. doi.org/10.14235/bas.galenos.2024.68736https://search.trdizin.gov.tr/tr/yayin/detay/1273742/investigating-the-frequency-of-stent-fracture-and-its-impact-on-in-stent-restenosis-in-patients-undergoing-carotid-artery-stentinghttps://hdl.handle.net/20.500.12713/6745Objective: This single-center study aimed to assess the incidence and predictors of carotid artery Xact stent fractures (SF) and their impact on in-stent restenosis (ISR) during long-term follow-up. Methods: A cohort of 108 patients (97 males, median age 69.4±8 months) who underwent Xact stent placement for internal carotid artery stenosis between 2013 and 2021 and were diagnosed with SFs through fluoroscopy in 2022 were included. SFs were categorized as types I-V based on fracture characteristics. Follow-up included duplex ultrasound examinations to assess stent patency. Results: The average follow-up duration was 49.2±24.3 months, with ISR observed in 10 patients. Twenty-three SFs (21.3%) were identified: type I (5 patients), type II (7 patients), type III (3 patients), type IV (6 patients), and type V (2 patients). Calcification and stent length significantly predicted SFs (p<0.001; p<0.028). Conclusion: Calcification and stent length are associated with Xact SFs, but SFs do not impact ISR during long-term followup.eninfo:eu-repo/semantics/openAccessInternal carotid arteryXact stentsstent fracturein- stent restenosisArticle123374381WOS:00139596680001310.14235/bas.galenos.2024.687361273742