Document Detail


Carotid endarterectomy with stent removal in management of in-stent restenosis: a safe, feasible, and effective technique.
MedLine Citation:
PMID:  24239104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The optimal treatment of in-stent restenosis (ISR) is not determined. We describe the efficacy of carotid endarterectomy (CEA) with stent removal in the management of symptomatic ISR.
METHODS: A 72-year-old man presented with recurrent right limb weakness 8 months after carotid artery stenting. Digital substraction angiography showed severe ISR (almost 99%). CEA with stent removal was performed.
RESULTS: A total of 41 cases was reviewed: periarterial inflammation was shown in 10.3% of patients; 92.9% had clear intima-media plane; and 85.4% had a good outcome. All patients remained stable at follow-up.
DISCUSSION: CEA with stent removal appears to be a safe, feasible, effective, and durable therapeutic option.
Authors:
J Zheng; L Liu; Y Cao; D Zhang; R Wang; J Zhao
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-10-22
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  47     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-01-13     Completed Date:  2014-03-06     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  8-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography, Digital Subtraction
Angioplasty / adverse effects*,  instrumentation*
Carotid Stenosis / radiography,  surgery,  therapy*
Device Removal*
Endarterectomy, Carotid*
Humans
Male
Recurrence
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Comments/Corrections
Comment In:
Eur J Vasc Endovasc Surg. 2014 Jul;48(1):107-8   [PMID:  24785649 ]
Eur J Vasc Endovasc Surg. 2014 Jul;48(1):108-9   [PMID:  24791604 ]

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