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Carotid Stenting for Restenosis after Endarterectomy

  • Clinical Investigation
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Abstract

Introduction

Restenosis after carotid endarterectomy (CEA) has been described in 8–19% of patients, 14–23% of whom become symptomatic. This study analyzes our experience with carotid artery stenting (CAS) for post-CEA recurrent stenoses.

Method

Retrospective database and case-note review.

Results

Between January 2000 and September 2008, a total of 27 patients (15 symptomatic) with hemodynamically significant internal carotid artery post-CEA restenosis underwent CAS. Median stenosis of target vessels was 90% (range 75–95%). There was one periprocedural death (3.7%); no others occurred during the median 34-month follow-up (range 0.1–84 months). There was one late transient ischemic attack 12 months after CAS that was not associated with in-stent restenosis. One 90% restenosis and one occlusion were detected during follow-up at 38 and 57 months after CAS. The remaining patients had no evidence of further restenosis and remained free from cerebrovascular symptoms.

Conclusion

CAS offers a feasible option for the management of carefully selected patients with symptomatic and asymptomatic restenosis after CEA.

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Conflicts of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, University Hospital of South Manchester NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, UK

    Andrew Counsell & Raymond Ashleigh

  2. Department of Vascular Surgery, University Hospital of South Manchester NHS Foundation Trust, Southmoor Road, Manchester, M23 9LT, UK

    Jonathan Ghosh & Charles C. N. McCollum

Authors
  1. Andrew Counsell
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  2. Jonathan Ghosh
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  3. Charles C. N. McCollum
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  4. Raymond Ashleigh
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Corresponding author

Correspondence to Raymond Ashleigh.

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Counsell, A., Ghosh, J., McCollum, C.C.N. et al. Carotid Stenting for Restenosis after Endarterectomy. Cardiovasc Intervent Radiol 34, 488–492 (2011). https://doi.org/10.1007/s00270-010-0006-9

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  • DOI: https://doi.org/10.1007/s00270-010-0006-9

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