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Updated: Jul 10, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
[Endovascular and surgical management of carotid artery restenosis]
D Z Sagić1, Z D Antonić, B B Petrović
1Centar za invazivnu dijagnostiku, Institut za kardiovaskularne bolesti Dedinje, Beograd.
Insights
Endovascular treatment for carotid artery restenosis is safer and more effective than reoperation. This study found fewer serious complications and less restenosis with endovascular methods.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Context:
- Recurrent carotid stenosis after endarterectomy affects 10-34% of patients.
- A four-year experience comparing reoperation and endovascular treatment for restenosis is presented.
Purpose:
- To compare the safety and efficacy of reoperation versus endovascular treatment for carotid artery restenosis.
- To evaluate periprocedural and long-term outcomes in patients undergoing treatment for carotid restenosis.
Summary:
- Fifty patients (37 men, 13 women) were treated between 2001-2005.
- No periprocedural strokes, deaths, or myocardial infarctions occurred in either group.
- The endovascular group had no restenosis >= 50%, while the surgical group had two such cases. Transient ischemic attack rates were 3.17% (endovascular) and 11.76% (surgical). One death from myocardial infarction occurred in the surgical follow-up.
Impact:
- Endovascular treatment for carotid artery restenosis is a safe and effective alternative to reoperation.
- Endovascular treatment is associated with a lower incidence of serious complications compared to redo surgery.
Background:
The incidence of recurrent carotid stenosis after primary endarterectomy ranges from 10-34%. We presented our four year experience and comparing reoperation versus endovascular treatment.
Methods:
In period from 2001 to 2005, 50 patients, 37 men and 13 women, were treated surgically and endovascular due to restenosis.
Results:
There were no minor or major stroke, death and myocardial infarction periprocedural and in first 30 days in either group. In endovascular group one patients 3.17% had transient ischemic attack and two patients 11.76% in surgical group. One patient died from myocardial infraction in follow up in surgical group. There were no restenosis > or = 50% in endovascular group, two patients have restenosis > or = 50% in surgical group.
Conclusions:
Endovascular treatment of carotid artery restenosis represents a safe and efficient way of treatment, connected with minor number of serious complications than redo operation.
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