Indications for treatment of recurrent carotid stenosis

Bekelis, Kimon; Moses, Ziev B.; Missios, Symeon; Desai, Anand; Labropoulos, Nicos

doi:10.1002/bjs.9027

Cited by 36 publications

(24 citation statements)

References 77 publications

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“…From the 84 eligible articles (7609 patients, possibly including duplicate patients and interventions others than CEA/CAS), we received IPD from 13 studies. 15,16,18,19,[24][25][26][27][28][29][30][31][32] From the remaining 71 studies, IPD could not be retrieved because 30 authors did not respond, 26 did respond but the data were not available [no access to the data anymore without a clear reason why (13); no access to the data anymore because of change of institution, retirement, or institutional/study group restrictions (7); data destroyed or lost (4); data not digital (2)]. Three studies replied, but only provided summary data, and 11 study groups responded that they were not willing to participate (unknown reasons).…”

Section: Individual Patient Data Acquisitionmentioning

confidence: 96%

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Stenting Versus Endarterectomy for Restenosis Following Prior Ipsilateral Carotid Endarterectomy

et al. 2015

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Section: Individual Patient Data Acquisitionmentioning

confidence: 96%

“…1,2 The reported incidence of restenosis is variable according to its definition, method of measurement, and duration of follow-up. The rate of restenosis at 2 years has varied from 6% to 14% using duplex ultrasound with more than 50% restenosis as criterion.…”

mentioning

confidence: 99%

Stenting Versus Endarterectomy for Restenosis Following Prior Ipsilateral Carotid Endarterectomy

et al. 2015

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“…Different treatment methods are available, such as balloon dilatation angioplasty, restenting, CEA with simultaneous stent removal, and carotid bypass reconstruction (13). If an early carotid stenosis tendency is found after CAS, treatment with cilostazol may be effective (14).…”

Section: Discussionmentioning

confidence: 99%

Carotid endarterectomy for in-stent restenosis: a case report and literature review

Liu

2017

Biomedical Reports

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It is relatively difficult to treat restenosis when restenosis occurs following carotid artery stenting. Endarterectomy with simultaneous stent removal is an effective approach when restenosis occurs. The treatment method is still not well known. The present paper reports a case of restenosis after stenting that was treated with endarterectomy with a satisfactory treatment outcome. The patient, a 74-year-old male, underwent stenting 10 months before he was re-hospitalized. He seemed to recover well after stenting until one month before he was re-hospitalized, when he presented symptoms of cerebral ischemia. Imaging examination revealed that in-stent stenosis had reoccurred, with the stenosis degree ranging from 70–99%. He was given endarterectomy treatment, and intra-operative findings showed that the stent grew into a carotid artery plaque and protruded below the adventitia and that the stent lumen was not covered by carotid artery intima. The surgery completely and successfully removed the plaque and the stent, while the adventitia was completely preserved. Follow-up indicated that there was no stenosis in the carotid artery, and the prognosis was good. Relevant literature was also reviewed in this paper, and the authors suggested that carotid artery plaque and stent endarterectomy is beneficial. However, surgical treatment for in-stent stenosis remains a challenging option.

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“…Other risk factors include fibrous or inflammatory plaque, history of neck radiation therapy, history of restenosis after CEA, residual waist or narrowing immediately after treatment, and increased age. There is currently no clear consensus on how to manage restenosis after carotid revascularization, and follow‐up imaging should therefore be handled on an individualized basis . Generally, baseline sonography is performed, followed by sonography every 6 months for the first 2 years and yearly thereafter .…”

Section: Classification Of Complications After Carotid Artery Intervementioning

confidence: 99%

Sonographic Evaluation of Complications of Extracranial Carotid Artery Interventions

Millet

Cavallo

Scoutt

et al. 2017

J of Ultrasound Medicine

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Carotid endarterectomy and carotid artery stenting are among the most common peripheral vascular procedures performed worldwide. Sonography is the initial and often only imaging modality used in the evaluation of iatrogenic carotid arterial injuries. This pictorial essay provides an overview of the clinical and sonographic findings of complications after interventions in the extracranial carotid arteries, including dissection, fluid collections, pseudoaneurysm, thrombosis, thromboembolism, restenosis, and stent deformation. Grayscale, color, and pulsed Doppler imaging findings are reviewed, and correlations with computed tomography, magnetic resonance imaging, and angiography are provided.

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Indications for treatment of recurrent carotid stenosis

Abstract: The reported criteria for retreatment of carotid stenosis were not rigorous and there is still significant ambiguity surrounding the indications for intervention.

Cited by 36 publications

References 77 publications

Stenting Versus Endarterectomy for Restenosis Following Prior Ipsilateral Carotid Endarterectomy

Stenting Versus Endarterectomy for Restenosis Following Prior Ipsilateral Carotid Endarterectomy

Carotid endarterectomy for in-stent restenosis: a case report and literature review

Sonographic Evaluation of Complications of Extracranial Carotid Artery Interventions

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