Carotid angioplasty and stenting is safe and effective for treatment of recurrent stenosis after eversion endarterectomy

Radak, Djordje; Tanasković, Slobodan; Sagić, Dragan; Antonić, Želimir; Babić, Srdjan; Popov, Petar; Matić, Predrag; Rančić, Zoran

doi:10.1016/j.jvs.2014.03.288

Cited by 17 publications

(13 citation statements)

References 25 publications

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“…15 Also, Radak et al reported that no TIAs or strokes were verified during the follow-up, and non-neurologic mortality was 3.13%. 18 No ischemic events were observed during the follow-up period in any of the six patients reported by Heck. 28 Other studies did not provide long-term risk of treatments.…”

Section: Complicationsmentioning

confidence: 75%

“…However, Chung et al reported a >50% restenosis, 32 Radak et al reported that the stenosis was >50% for symptomatic patients and >80% for asymptomatic patients. 18 In the balloon angioplasty and CEA groups, the diameter stenosis was larger than 70%.…”

Section: Factors Affecting the Prognosismentioning

confidence: 94%

“…Four studies reported the treatment of ISR with CEA. Meanwhile, among the 16 studies with PTA treatment, 7 studies reported re-PTA with stent placement, [15][16][17][18][19][20][21] 5 studies reported DCB angioplasty, [22][23][24][25][26] the other 4 studies reported the efficacy of ISR treatment with regular or cutting balloon angioplasty. [27][28][29][30] Outcomes of Treatment Efficacy…”

Section: Drug-coated Balloon Angioplastymentioning

confidence: 99%

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A Review on the Comparison of Different Treatments for Carotid In-Stent Restenosis

Wang

Zhou

et al. 2019

Can. J. Neurol. Sci.

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ABSTRACT:Different treatment options for carotid in-stent restenosis (ISR) have been reported with good outcome, including carotid endarterectomy (CEA), repeated carotid angioplasty stenting (CAS) and percutaneous transluminal angioplasty (PTA) with drug-coated balloons (DCBs). However, the optimal treatment option for ISR has not yet been determined. A systematic literature search was performed in the databases of Medline, Embase, Cochrane library, and unpublished data from clinicaltrials.gov from 1990 to March 1, 2019. Studies were enrolled if they reported treatment strategies for carotid ISR treatment and met the inclusion criteria. After study inclusions, data were extracted and summarized. Totally 25 cross-sectional studies were included, containing 5 comparative studies, 16 studies using repeated PTA, and 4 studies adopting CEA treatment. Our study summarized the current available data, showing that all the studies could effectively relieve the carotid ISR by significantly improving the angiographic stenosis and decreasing the peak systolic velocity values. Meanwhile, CEA treatment had the best long-term effects in relieving restenosis, while re-PTA with stenting/balloon angioplasty had a certain rate of restenosis, ranging from 33% to 83%. Furthermore, re-PTA/stenting and balloon angioplasty treatment had less complications compared with CEA. Also, we analyzed the risk factors that might affect the long-term prognosis of carotid ISR patients. The therapeutic measures for carotid ISR had their own features, with CEA had the highest efficacy while re-PTA/stenting and balloon angioplasty were with less complications. More large-scale comparative clinical studies are needed to further ascertain the best strategies.

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Section: Complicationsmentioning

confidence: 75%

Section: Factors Affecting the Prognosismentioning

confidence: 94%

Section: Drug-coated Balloon Angioplastymentioning

confidence: 99%

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A Review on the Comparison of Different Treatments for Carotid In-Stent Restenosis

Wang

Zhou

et al. 2019

Can. J. Neurol. Sci.

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“…Radak et al 14 reported that, in 319 patients who underwent carotid angioplasty, coronary artery disease and smoking history were associated with an adverse outcome after carotid angioplasty. Alcohol consumption may be a potentially modifiable risk factor for stroke 15…”

Section: Discussionmentioning

confidence: 99%

Comparative outcomes of carotid artery stenting for asymptomatic and symptomatic carotid artery stenosis: a single-center prospective study

Wang

et al. 2014

J NeuroIntervent Surg

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“…29 Carotid artery dissections may also be visualized after carotid intervention, occurring in less than 1% of patients undergoing CEA. 30 Ultrasonographic imaging shows an echogenic intimal flap or double lumen within the vessel, which is often associated with an abnormal pattern of flow (Fig. 21).…”

Section: Postoperative Carotid Imagingmentioning

confidence: 99%

The Essentials of Extracranial Carotid Ultrasonographic Imaging

Kaproth-Joslin¹,

Bhatt²,

Scoutt³

et al. 2014

Radiologic Clinics of North America

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Carotid angioplasty and stenting is safe and effective for treatment of recurrent stenosis after eversion endarterectomy

Abstract: Carotid artery stenting is safe and reliable procedure for CR after eversion endarterectomy treatment, with low rate of postprocedural complications. Type of stent and cerebral embolic protection device may influence the rate of postprocedural neurologic ischemic events.

Cited by 17 publications

References 25 publications

A Review on the Comparison of Different Treatments for Carotid In-Stent Restenosis

A Review on the Comparison of Different Treatments for Carotid In-Stent Restenosis

Comparative outcomes of carotid artery stenting for asymptomatic and symptomatic carotid artery stenosis: a single-center prospective study

The Essentials of Extracranial Carotid Ultrasonographic Imaging

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