Journal article
Carotid angioplasty and stent placement for restenosis after endarterectomy
Neuroradiology, Vol.49(4), pp.357-364
04/2007
DOI: 10.1007/s00234-006-0206-9
PMID: 17225995
Abstract
Recurrent carotid stenosis following endarterectomy is a common complication, and reoperation may be associated with increased morbidity. The goal of this study was to determine the procedural safety and long-term complication rates of carotid angioplasty and stenting for recurrent stenosis.Of 248 consecutive carotid angioplasty and/or stenting procedures performed at our institution between March 1996 and November 2005, 83 procedures for recurrent stenosis following endarterectomy were performed in 75 patients (mean age 68 years; 43 men, 32 women) without cerebral protection devices. The patients’ medical records were retrospectively reviewed for vascular imaging reports and available clinical follow-up. Procedural and long-term complication rates were calculated.Recurrent stenosis was reduced from a mean of 80.6% to no significant stenosis in 82 of 83 procedures. The procedural stroke rate was 3 out of 83 procedures (3.6%). The procedural transient ischemic attack (TIA) rate was 2 out of 83 procedures (2.4%). Mean follow-up was 22.4 months (range 0.1 to 86.7 months) with at least 6 months follow-up for 54 of 83 procedures (65%). There were five TIAs and no strokes on follow-up (new TIAs at 25.5 and 43.4 months; recurrent TIAs at 1, 11.1, and 12 months, all with normal angiograms). The composite 30-day stroke, myocardial infarction, or death rate was 5 of 83 procedures (6.0%).In this series, angioplasty and stenting were effective in relieving stenosis secondary to recurrent carotid disease after endarterectomy, and have low rates of ischemic complications.
Details
- Title: Subtitle
- Carotid angioplasty and stent placement for restenosis after endarterectomy
- Creators
- Yasha Kadkhodayan - Interventional Neuroradiology, Mallinckrodt Institute of Radiology Washington University School of Medicine 510 South Kingshighway Blvd St. Louis MO 63110 USAChristopher Moran - Department of Neurological Surgery Washington University School of Medicine St. Louis MO USAColin Derdeyn - Department of Neurology Washington University School of Medicine St. Louis MO USADewitte Cross III - Department of Neurological Surgery Washington University School of Medicine St. Louis MO USA
- Resource Type
- Journal article
- Publication Details
- Neuroradiology, Vol.49(4), pp.357-364
- Publisher
- Springer-Verlag; Berlin/Heidelberg
- DOI
- 10.1007/s00234-006-0206-9
- PMID
- 17225995
- ISSN
- 0028-3940
- eISSN
- 1432-1920
- Language
- English
- Date published
- 04/2007
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984020647702771
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