Carotid stent failure: results of surgical rescue.
OBJECTIVE
Little data is available on surgical "rescue" of failed carotid stents (CAS). We have analyzed a series of CAS failures treated by conventional open surgery.


METHODS
Five patients underwent surgery after CAS failure, either electively (4) or as an emergency (1). Elective surgical "rescue" was for stent restenosis (2 cases) or stent misplacement (2 cases). Emergency surgery was performed for entrapment of the protection system in the stent. Surgical rescue was accomplished by perimedial endarterectomy and "en bloc" plaque and stent extraction in 3 cases, and by vein bypass in 2 cases, with no neurological complications.


CONCLUSIONS
Surgical rescue of failed CAS is effective.
Faggioli
G L
GL
Vascular Surgery, Policlinico S. Orsola, University of Bologna, Italy. faggioli@med.unibo.it
Ferri
M
M
Rossi
C
C
Gargiulo
M
M
Freyrie
A
A
Stella
A
A
D000368:Aged; D017130:Angioplasty; D001241:Aspirin / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D006083:Graft Occlusion, Vascular / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents; D013997:Time Factors; D017211:Treatment Failure; D018615:Ultrasonography, Doppler, Color
D010975:Platelet Aggregation Inhibitors; D001241:Aspirin