title: In-stent restenosis of innominate artery with critical stenosis of right internal carotid artery.
abstract: A lady with aortitis syndrome developed in-stent restenosis (ISR) of the innominate artery stent and critical stenosis of right internal carotid artery. The therapeutic challenge was gaining access to the carotid vessel, after treating the innominate artery ISR and all the while using distal protection to circumvent potential cerebral embolism. Percutaneous transluminal angioplasty (PTA) with or without stenting is a safe therapeutic option for re-vascularization of the supra aortic vessels. In the event of re-stenosis, re-treatment with PTA and stenting is safe. Ample evidence-base exists now for carotid artery stenting (CAS) in preference to carotid endarterectomy in patients with stenotic lesions of the carotid vessels.
authors: Department of Cardiology, Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi. sajjad.hussain.cardiologist@gmail.com
authors: Sajjad
authors: S
authors: Hussain
authors: Afsar
authors: A
authors: Raza
authors: Waqar
authors: W
authors: Ahmed
mesh_terms: D001025:Aortitis / Q000628:therapy; D016122:Brachiocephalic Trunk / Q000473:pathology*; D002343:Carotid Artery, Internal / Q000473:pathology*; D016893:Carotid Stenosis / Q000628:therapy*; D002404:Catheterization; D003251:Constriction, Pathologic; D057505:Embolic Protection Devices; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000517:prevention & control; D008875:Middle Aged; D012008:Recurrence; D015607:Stents