title: Safety, efficacy, and durability of carotid artery stenting for restenosis following carotid endarterectomy: a multicenter study.
abstract: OBJECTIVE
  To present the results of a multicenter registry established to collect data on carotid stent procedures in patients with restenosis following carotid endarterectomy.
  
  
  METHODS
  The procedural details, outcomes, and late follow-up results were collected from 14 centers in the United States. Thirty-day and late stroke and death rates were analyzed.
  
  
  RESULTS
  Three hundred and thirty-eight patients (201 men; 71 +/- 8 years) underwent carotid stenting in 358 arteries. The average duration from carotid endarterectomy was 5.5 +/- 7.3 years. Sixty-one percent of the patients were asymptomatic. The overall 30-day stroke and death rate was 3.7%. The minor stroke rate was 1.7% (6/358), and the major nonfatal stroke rate was 0.8% (3/358). The fatal stroke rate was 0.3% (1/358), and the nonstroke-related death rate was 0.9% (3/338). There was 1 (0.3%) fatal and 1 (0.3%) nonfatal stroke during the follow-up period. The overall 3-year rate of freedom from all fatal and nonfatal strokes was 96% +/- 1% (+/- SE).
  
  
  CONCLUSIONS
  Carotid artery stenting can be performed in patients with restenosis following carotid endarterectomy with 30-day complication rates comparable to those of most published studies on repeat carotid endarterectomy. Results of late follow-up suggest that this technique is durable and efficacious.
authors.affiliation: Lenox Hill Hospital and Vascular Institute, New York, New York 10021, USA.
authors.forename: G
authors.initials: G
authors.lastname: New
authors.forename: G S
authors.initials: GS
authors.lastname: Roubin
authors.forename: S S
authors.initials: SS
authors.lastname: Iyer
authors.forename: J J
authors.initials: JJ
authors.lastname: Vitek
authors.forename: M H
authors.initials: MH
authors.lastname: Wholey
authors.forename: E B
authors.initials: EB
authors.lastname: Diethrich
authors.forename: L N
authors.initials: LN
authors.lastname: Hopkins
authors.forename: R W
authors.initials: RW
authors.lastname: Hobson
authors.forename: M B
authors.initials: MB
authors.lastname: Leon
authors.forename: S V
authors.initials: SV
authors.lastname: Myla
authors.forename: F
authors.initials: F
authors.lastname: Shawl
authors.forename: S R
authors.initials: SR
authors.lastname: Ramee
authors.forename: J S
authors.initials: JS
authors.lastname: Yadav
authors.forename: K
authors.initials: K
authors.lastname: Rosenfield
authors.forename: M W
authors.initials: MW
authors.lastname: Liu
authors.forename: C R
authors.initials: CR
authors.lastname: Gomez
authors.forename: N
authors.initials: N
authors.lastname: Al-Mubarak
authors.forename: W A
authors.initials: WA
authors.lastname: Gray
authors.forename: W A
authors.initials: WA
authors.lastname: Tan
authors.forename: J E
authors.initials: JE
authors.lastname: Goldstin
authors.forename: R S
authors.initials: RS
authors.lastname: Stack
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000628:therapy*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence; D012449:Safety; D015607:Stents; D016896:Treatment Outcome