| Primary stenting for recurrent stenosis following carotid endarterectomy. | |
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MedLine Citation:
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PMID: 19534334 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Carotid angioplasty and stenting is an accepted alternative treatment for severe restenosis following carotid endarterectomy. Balloons may not be required to effectively treat these lesions, given their altered histopathology compared to primary atherosclerotic plaque and tendency to be less calcified. Primary stenting using self-expanding stents alone may, therefore, be a safe and effective treatment for restenosis post-carotid endarterectomy. METHODS: We review our experience in the treatment of 12 patients with symptomatic severe restenosis following carotid endarterectomy with primary stent placement alone. RESULTS: Self-expanding stent placement alone reduced the mean internal carotid artery stenosis from 85% to 29%. Average peak systolic velocity determined at the time of ultrasonography decreased from 480 cm/s at initial presentation to 154 cm/s post-stent deployment and further decreased to 104 cm/s at one year follow-up. The stented arteries remained widely patent with no evidence of restenosis. A single peri-procedural ipsilateral transient ischemic event occurred. There were no cerebral or cardiac ischemic events recorded at one year of follow-up. CONCLUSIONS: In this series, primary stent placement without use of angioplasty balloons was a safe and effective treatment for symptomatic restenosis following carotid endarterectomy. |
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Authors:
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Miguel Bussière; David M Pelz; Stephen P Lownie |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques Volume: 36 ISSN: 0317-1671 ISO Abbreviation: Can J Neurol Sci Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-06-18 Completed Date: 2009-07-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0415227 Medline TA: Can J Neurol Sci Country: Canada |
Other Details:
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Languages: eng Pagination: 332-5 Citation Subset: IM |
Affiliation:
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Division of Neurology, The Ottawa Hospital, Ottawa, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon / methods* Constriction, Pathologic / radiography, surgery*, ultrasonography Endarterectomy, Carotid / adverse effects* Female Humans Male Middle Aged Recurrence Risk Factors Stents* Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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