Redo surgery for carotid artery stenosis: when and how?

Durability of surgery for restenosis after carotid endarterectomy

“…There are only six reports of Ͼ100 procedures, 6,13,16,30,33,36 10 reports of 50 to 99 procedures, 7,14,15,17,19,23,24,27,34,35 and 14 reports of Ͻ49 procedures. 5,18,[20][21][22]25,26,28,29,31,32,37,38 The reported 30-day stroke and death rates range from 0% to 5.4% (Table I). The most important flaw of most of these reports is the lack of follow-up.…”

Effect of carotid artery stenting on the external carotid artery

“…[1][2][3][4] Complications and recurrent stenosis rates were investigated in several single-center studies [5][6][7][8] and with the global questionnaire survey of Wholey et al, 9 and are comparable with those reported for carotid endarterectomy. [10][11][12] Most high-grade arteriosclerotic lesions are located at the carotid bifurcation, usually at the distal common carotid artery (CCA) and the proximal internal carotid artery (ICA), and frequently the external carotid artery (ECA) is also involved. Therefore stents are usually placed across the bifurcation from the CCA, extending into the ICA (Fig 1).…”

Single-Center Experience with Carotid Stent Restenosis

“…[1][2][3] However, recurrent stenosis is not uncommon and has been reported in 3% to 36% of cases. 4 In the growing population of patients who have been treated with stent placement [5][6][7][8][9][10][11][12] for ICA occlusive disease, the incidence of recurrent lesions appears to be rather low in single-center experiences. 6,7,11 A global series of 5210 carotid stents in 4757 patients reported a recurrence rate only 1.99% after 6 months and 3.46% after 12 months.…”