Recurrent carotid disease: will stents be an alternative to surgery?
OBJECTIVE
To report the results of balloon angioplasty in recurrent carotid occlusive disease and evaluate the potential for stent implantation.


RESULTS
Between April 1991 and September 1995, 15 patients with carotid restenosis underwent 17 endoluminal procedures in 3 common carotid and 14 internal carotid arteries. Two postdilation complications (dissection and acute occlusion) required prompt stenting; one common carotid artery was stented for postdilation residual stenosis. One recurrent lesion was also stented 6 months after initial angioplasty. One stroke, 1 silent cerebral infarction, and 3 transient ischemic attacks occurred in the balloon angioplasty patients (33% neurological complication rate). The common carotid stent patient died 3 days postoperatively due to hyperperfusion syndrome. Long-term follow-up in two stent patients showed no restenosis at 18 and 48 months, respectively. The 11 balloon angioplasty patients likewise have not demonstrated restenosis.


CONCLUSIONS
Balloon angioplasty alone appears too risky for treating recurrent carotid disease. Stents may offer a safer alternative, particularly when implanted primarily.
Bergeron
P
P
Fondation Hôpital St. Joseph, Marseille, France.
Chambran
P
P
Benichou
H
H
Alessandri
C
C
D000784:Aortic Dissection / Q000209:etiology / Q000628:therapy; D000800:Angioplasty, Balloon / Q000009:adverse effects; D002341:Carotid Artery Thrombosis / Q000209:etiology / Q000628:therapy; D017536:Carotid Artery, Common; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000601:surgery / Q000628:therapy*; D002544:Cerebral Infarction / Q000209:etiology; D002561:Cerebrovascular Disorders / Q000209:etiology; D016894:Endarterectomy, Carotid; D005069:Evaluation Studies as Topic; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008297:Male; D012008:Recurrence; D012307:Risk Factors; D015607:Stents; D015996:Survival Rate; D017585:Ultrasonography, Doppler, Transcranial