Carotid Endarterectomy for Intractable Repetitive Stenosis Following Carotid Artery Stenting

Restenosis after carotid artery stenting has raised concerns regarding the long-term durability of carotid stenting. Recurrent restenosis after multiple endovascular interventions may pose a challenge for clinicians. We encountered 2 cases of intractable restenosis after redo−carotid artery stenting...

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Bibliographic Details
Published in:World neurosurgery 2021-01, Vol.145, p.311-314
Main Authors: Sato, Daisuke, Ogawa, Shotaro, Fujimoto, So, Suzuki, Takeya, Ueda, Masayuki, Ota, Takahiro
Format: Article
Language:English
Subjects:
Carotid artery restenosis
CEA
Post-CAS
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Summary:Restenosis after carotid artery stenting has raised concerns regarding the long-term durability of carotid stenting. Recurrent restenosis after multiple endovascular interventions may pose a challenge for clinicians. We encountered 2 cases of intractable restenosis after redo−carotid artery stenting and performed carotid endarterectomy. We removed the embedded stent and plaque simultaneously, used the internal shunting system, and performed patch angioplasty with no further recurrence. Carotid endarterectomy could be considered as a first-line treatment for recurrent stenosis that proves refractory to multiple endovascular interventions.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2020.09.154