title: Carotid Bypass Using Gore Hybrid Vascular Graft for In-stent Restenosis after Carotid Stenting.
abstract: In-stent restenosis (ISR) is the most common long-term complication following carotid artery stenting (CAS), affecting 3.5% to 21% of patients after a mean follow-up of 18 months in published reports. Until now, the optimal management for ISR after CAS is still not clear, and different endovascular treatments along with various surgical options have been proposed. Moreover, surgical treatment for ISR in a previously operated patient of ipsilateral endarterectomy is a technically demanding procedure. In this report, we describe a case of severe carotid recurrent ISR, which occurred after CAS for postendarterectomy restenosis, that was successfully treated, in a straightforward way, with a carotid bypass using a Gore®Hybrid Vascular Graft.
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy. Electronic address: agosurgery@gmail.com.
authors.forename: Andrea
authors.initials: A
authors.lastname: Agostinucci
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cumino
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Roberta
authors.initials: R
authors.lastname: Suita
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bellan
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Lazzaro
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Pagliasso
authors.affiliation: Division of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Turin, Italy.
authors.forename: Ferruccio
authors.initials: F
authors.lastname: Ferrero
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000009:adverse effects* / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D000072226:Computed Tomography Angiography; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome