Percutaneous transluminal angioplasty and stent placement for recurrent carotid artery stenosis

• DOI: 10.3171/jns.1999.90.4.0688
• Publication Date: 2009-05-13T17:20:04Z
• Authors: Giuseppe Lanzino; Robert A. Mericle; Demetrius K. Lopes; Ajay K. Wakhloo; Lee R. Guterman; L. Nelson Hopkins
• Keywords: Pseudoaneurysm; Endarterectomy

Treatment consisting of percutaneous transluminal angioplasty (PTA) and stent placement has recently been proposed as an alternative to surgical reexploration in patients with recurrent carotid artery stenosis following endarterectomy. The authors retrospectively reviewed their experience after performing 25 procedures 21 assess the safety efficacy PTA or without for restenosis.The mean interval between endarterectomy endovascular was 57 months (range 8-220 months). Seven arteries five were treated by alone (including bilateral one patient repeated same vessel another). Early suboptimum results some these initial cases prompted combine treatment 18 over past 3 years. No major periprocedural deficits (neurological cardiac complications) death occurred. There transient neurological event, a pseudoaneurysm femoral (at access site) required repair. In 16 who each underwent at least 6 follow-up review, no events ipsilateral had occurred period 27 6-57 Three developed significant (>50%) asymptomatic restenoses that two patients. Significant restenosis (55%) observed only vessels combined placement.Endovascular stenting is both technically feasible safe satisfactory midterm patency. This procedure can be considered viable stenosis.