Recurrent carotid stenosis: prevention, surveillance, and management.
Carotid endarterectomy has come under closer scrutiny, perhaps more than any other surgical procedure. Many studies have shown excellent early results; however, recurrent carotid stenosis is a recognized complication arising in the postoperative follow-up period. The local and systemic factors that may contribute to recurrent stenosis are reviewed. The results of noninvasive postoperative surveillance are examined, and a rational schedule is proposed. Finally, the diagnosis of recurrent stenosis and its surgical management with redo endarterectomy are discussed.
Mansour
M A
MA
Department of Surgery, Loyola University Stritch School of Medicine, Maywood, IL, USA.
D016893:Carotid Stenosis / Q000175:diagnosis* / Q000517:prevention & control* / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D012008:Recurrence