Carotid Endarterectomy for Intractable Repetitive Stenosis Following Carotid Artery Stenting

Daisuke Sato; Shotaro Ogawa; So Fujimoto; Takeya Suzuki; Masayuki Ueda; Takahiro Ota

doi:10.1016/j.wneu.2020.09.154

Carotid Endarterectomy for Intractable Repetitive Stenosis Following Carotid Artery Stenting

World Neurosurg. 2021 Jan:145:311-314. doi: 10.1016/j.wneu.2020.09.154. Epub 2020 Oct 2.

Authors

Daisuke Sato¹, Shotaro Ogawa¹, So Fujimoto¹, Takeya Suzuki¹, Masayuki Ueda², Takahiro Ota³

Affiliations

¹ Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
² Department of Neurology and Stroke Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
³ Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan. Electronic address: toota-tky@umin.org.

PMID: 33011355
DOI: 10.1016/j.wneu.2020.09.154

Abstract

Background: Restenosis after carotid artery stenting has raised concerns regarding the long-term durability of carotid stenting. Recurrent restenosis after multiple endovascular interventions may pose a challenge for clinicians.

Case description: We encountered 2 cases of intractable restenosis after redo-carotid artery stenting and performed carotid endarterectomy. We removed the embedded stent and plaque simultaneously, used the internal shunting system, and performed patch angioplasty with no further recurrence.

Conclusion: Carotid endarterectomy could be considered as a first-line treatment for recurrent stenosis that proves refractory to multiple endovascular interventions.

Keywords: CEA; Carotid artery restenosis; Post-CAS.

Publication types

Case Reports

MeSH terms

Aged
Angioplasty
Carotid Stenosis / surgery*
Endarterectomy, Carotid / methods*
Endovascular Procedures / methods*
Graft Occlusion, Vascular / surgery
Humans
Male
Neurosurgical Procedures / methods*
Recurrence
Stents
Treatment Outcome