| Carotid artery angioplasty for restenosis following endarterectomy. | |
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MedLine Citation:
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PMID: 14718898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The higher complication rate associated with the surgical treatment of restenosis following carotid endarterectomy (CEA) has led several authors to advocate angioplasty as the treatment of choice in the management of restenosis. We describe our experience with internal carotid artery angioplasty for post-endarterectomy restenosis over 7 years. PATIENTS AND METHODS: From January 1994 to April 2001, all patients with a >90% restenosis following CEA were considered for angioplasty. Thirty angioplasties were carried out in 25 patients, 80% (24/30), for asymptomatic recurrent stenosis. There was no difference between those who had intervention for recurrent stenosis (n=31) and those who did not (n=545) in age, sex, smoking status or incidence of diabetes or hypertension. A significantly greater number of patients who underwent angioplasty were hypercholesterolaemic (p<0.05, Chi-squared test). RESULTS: Mean time from surgery to angioplasty was 13 months (range 1-23). Angioplasty was technically successful in 29 cases (97%). Three patients (10%) experienced transient neurological symptoms during the procedure. There were no strokes. Ninety-six percent (28/29) of patients were followed up with duplex scanning. Mean follow-up was 20 months (range 2-48). Three patients developed a greater than 90% restenosis. CONCLUSION: Angioplasty is an acceptable alternative to surgery in the management of internal carotid artery restenosis following endarterectomy. |
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Authors:
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C O McDonnell; D Legge; E Twomey; E G Kavanagh; S Dundon; M K O'Donohoe; M K O'Malley; T P Corrigan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 27 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-01-13 Completed Date: 2004-02-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 163-6 Citation Subset: IM |
Affiliation:
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Departmentof Vascular Surgery, Mater Misericordiae Hospital, Dublin, Ireland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon* Carotid Artery, Internal Carotid Stenosis / surgery, therapy* Case-Control Studies Endarterectomy, Carotid* Female Follow-Up Studies Humans Male Recurrence Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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