Carotid angioplasty with stenting in post-carotid endarterectomy restenosis.
Recurrent stenosis post-carotid endarterectomy (CEA) is not a solitary or unusual phenomenon. Compared to the initial CEA, the reoperation is often more technically challenging and frequently results in local and neurological complications. Carotid artery angioplasty with stenting (CAS) is currently being investigated as an alternative to carotid endarterectomy. In our study, ninety-nine patients underwent CAS in 110 arteries. Procedural success was 99% (109/110). Our results show that CAS treatment in post-CEA restenosis, especially with improved technique and distal protection, is safe with a low neurological complication rate, without any "local" complications and without any cranial nerve palsies. This study suggests that the future primary mode of treatment of post-CEA restenosis might be carotid stenting rather than surgery.
Vitek
J J
JJ
Heart and Vascular Institute of New York, Interventional Neuroradiology, Lenox Hill Hospital, Black Hall, 9th Floor, 130 East 77th Street, New York, NY, 10021, USA.
Roubin
G S
GS
New
G
G
Al-Mubarek
N
N
Iyer
S S
SS
D000368:Aged; D000800:Angioplasty, Balloon; D016893:Carotid Stenosis / Q000601:surgery / Q000628:therapy*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015607:Stents