Carotid stent failure: results of surgical rescue

Eur J Vasc Endovasc Surg. 2007 Jan;33(1):58-61. doi: 10.1016/j.ejvs.2006.06.022. Epub 2006 Aug 22.

Abstract

Aim: Little data is available on surgical "rescue" of failed carotid stents (CAS). We have analyzed a series of CAS failures treated by conventional open surgery.

Report: Five patients underwent surgery after CAS failure, either electively (4) or as an emergency (1). Elective surgical "rescue" was for stent restenosis (2 cases) or stent misplacement (2 cases). Emergency surgery was performed for entrapment of the protection system in the stent. Surgical rescue was accomplished by perimedial endarterectomy and "en bloc" plaque and stent extraction in 3 cases, and by vein bypass in 2 cases, with no neurological complications.

Conclusion: Surgical rescue of failed CAS is effective.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty*
  • Aspirin / therapeutic use
  • Carotid Artery Diseases / surgery*
  • Endarterectomy, Carotid*
  • Female
  • Graft Occlusion, Vascular / drug therapy
  • Graft Occlusion, Vascular / pathology
  • Graft Occlusion, Vascular / surgery*
  • Humans
  • Male
  • Middle Aged
  • Platelet Aggregation Inhibitors / therapeutic use
  • Stents*
  • Time Factors
  • Treatment Failure
  • Ultrasonography, Doppler, Color

Substances

  • Platelet Aggregation Inhibitors
  • Aspirin