Fong PY, Chuang WY, Huang YZ, Chang CH. Safety of carotid artery stent in repetitive transcranial magnetic stimulation-The histopathological proof from swine carotid artery.
Neurosci Lett 2017;
657:194-198. [PMID:
28782579 DOI:
10.1016/j.neulet.2017.08.011]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Revised: 07/24/2017] [Accepted: 08/01/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION
Repetitive transcranial magnetic stimulation (rTMS), including theta burst stimulation (TBS), is considered helpful for functional recovery in post-stroke patients. However, the safety is a common concern forusingr TMS for neuro-rehabilitation and research in patients with stents.
METHOD
Prolonged continuous theta burst stimulation (cTBS) with 1200 pulses at 50% of maximum output of Magstim Super Rapid2 was delivered in three different angles to a carotid stent placed in an isolated fresh swine carotid artery or on a table at a distance of 5cm. The possible migration and temperature change of the stent caused by cTBS was monitored by video recording and a digital thermometer, respectively. Histopathological study with hematoxylin and eosin stain were done on the vessel wall to identify possible micro thermal injury.
RESULTS
Stents in vessels did not cause any significant morphology change, such as thermal damage, after cTBS was given at three different angles. Neither visible migration nor significant temperature elevation was induced by cTBS.
CONCLUSION
There was no temperature change, thermal injury or migration after prolonged TBS at a high intensity, suggesting TBS is safe for clinical neuro-rehabilitation and physiological assessments in stroke patients with vascular stents.
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