title: Prosthetic carotid bypass graft for in-stent restenosis performed for post-endarterectomy recurrent stenosis: technical details.
abstract: OBJECTIVE
  Carotid artery stenting (CAS) is the treatment of choice for recurrent stenosis after carotid endarterectomy (CEA). However a significative incidence of in-stent restenosis could be occurred. Despite classical CEA leads to good results, in selective cases bypass graft may be the best treatment of in-stent restenosis.
  
  
  METHODS
  We describe two cases of carotid bypass graft performed to treat a recurrent in-stent stenosis after CAS for post-CEA restenosis. No death and cardiac complication occurred and no cranial nerves impairment was detected.
  
  
  CONCLUSIONS
  Prosthetic bypass graft is safe and effective in treatment of in-stent recurrent restenosis after CEA restenosis.
authors.affiliation: Department of Vascular Surgery, ASL RMF S. Paolo Hospital, Civitavecchia, Rome Italy.
authors.forename: A
authors.initials: A
authors.lastname: Siani
authors.forename: F
authors.initials: F
authors.lastname: Accrocca
authors.forename: L M
authors.initials: LM
authors.lastname: Siani
authors.forename: R
authors.initials: R
authors.lastname: Gabrielli
authors.forename: R
authors.initials: R
authors.lastname: Antonelli
authors.forename: G A
authors.initials: GA
authors.lastname: Giordano
authors.forename: G
authors.initials: G
authors.lastname: Marcucci
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome