Carotid Stenting for Restenosis after Endarterectomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Andrew Counsell Jonathan Ghosh Charles C. N. McCollum Raymond Ashleigh
- چاپ و سال / کشور: 2010
Description
Introduction Restenosis after carotid endarterectomy (CEA) has been described in 8–19% of patients, 14–23% of whom become symptomatic. This study analyzes our experience with carotid artery stenting (CAS) for post-CEA recurrent stenoses. Method Retrospective database and case-note review. Results Between January 2000 and September 2008, a total of 27 patients (15 symptomatic) with hemodynamically significant internal carotid artery post-CEA restenosis underwent CAS. Median stenosis of target vessels was 90% (range 75–95%). There was one periprocedural death (3.7%); no others occurred during the median 34-month follow-up (range 0.1–84 months). There was one late transient ischemic attack 12 months after CAS that was not associated with in-stent restenosis. One 90% restenosis and one occlusion were detected during follow-up at 38 and 57 months after CAS. The remaining patients had no evidence of further restenosis and remained free from cerebrovascular symptoms. Conclusion CAS offers a feasible option for the management of carefully selected patients with symptomatic and asymptomatic restenosis after CEA
Cardiovasc Intervent Radiol (2011) 34:488–492 DOI 10.1007/s00270-010-0006-9 Received: 29 June 2010 / Accepted: 9 September 2010 / Published online: 12 November 2010
