[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.
Abstract

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