Predictors of carotid stent restenosis

Abstract

Restenosis after carotid stenting is uncommon; however, patients with previous CEA or XRT are at increased risk. Restenotic lesions may be safely treated with further percutaneous interventions.

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary

“…The incidence of restenosis after CAS has been in the range of 3% to 5%. [215][216][217][218][219][220][221][222][223][224][225][226][227][228][229][230][231][232][233] The incidence of TIA has been reported as 1% to 2% in patients undergoing CAS. Intracranial hemorrhage and the hyperperfusion syndrome related to hypertension and anticoagulation have been reported as complications in Ͻ1% of 506 Circulation July 26, 2011 CAS procedures.…”

Stenting Versus Surgery in Patients With Carotid Stenosis After Previous Cervical Radiation Therapy

“…Stent deployment in a pre-existent fibrotic (postradiation) process may be associated with a faster and higher incidence of restenosis. 25 Contrary to CAS, rates for restenosis after CEA seem to be comparable to those with surgery in the absence of radiotherapy. 9,29,37 Only Leseche et al 34 suggest that in patients who experienced cervical radiation, restenosis is markedly higher than in those patients without XRT.…”

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive summary

“…The incidence of restenosis after CAS has been in the range of 3% to 5%. [215][216][217][218][219][220][221][222][223][224][225][226][227][228][229][230][231][232][233] The incidence of TIA has been reported as 1% to 2% in patients undergoing CAS. Intracranial hemorrhage and the hyperperfusion syndrome related to hypertension and anticoagulation have been reported as complications in <1% of CAS procedures.…”