Related Experiment Video

Updated: May 15, 2026

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
09:36

A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis

Published on: August 12, 2025

Indications for treatment of recurrent carotid stenosis

K Bekelis1, Z Moses, S Missios

  • 1Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.

The British Journal of Surgery
|January 5, 2013
PubMed

Insights

Indications for re-treating carotid artery stenosis are unclear, with many asymptomatic patients undergoing intervention. This review highlights the need for more rigorous criteria in managing recurrent carotid stenosis.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Neurology

Background:

  • Significant variation exists in the criteria for intervention in recurrent carotid artery stenosis.
  • Understanding contemporary indications for re-intervention is crucial for patient management.

Purpose of the Study:

  • To systematically review and describe the indications for carotid intervention in patients with recurrent stenosis.

Main Methods:

  • Systematic review of peer-reviewed studies published between 1990 and 2012.
  • Included studies reporting on indications for carotid endarterectomy (CEA) or carotid artery stenting (CAS) after initial intervention for restenosis.

Main Results:

  • 50 studies analyzed 3524 patients; most initial interventions were CEA.
  • Only 54.7% of patients were treated for symptoms, with just 23.1% of symptomatic patients having documented ipsilateral symptoms.
  • Asymptomatic restenosis was treated, often when stenosis exceeded 80%; time to re-intervention varied by cause and procedure type.

Conclusions:

  • Current criteria for re-treating carotid stenosis lack rigor.
  • Significant ambiguity persists regarding the precise indications for intervention in recurrent carotid artery stenosis.
Abstract

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