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A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
Carotid Endarterectomy for Intractable Repetitive Stenosis Following Carotid Artery Stenting
Daisuke Sato1, Shotaro Ogawa1, So Fujimoto1
1Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Insights
Carotid endarterectomy is a viable option for treating recurrent carotid artery stenosis after multiple stenting procedures. This surgical approach can effectively resolve intractable restenosis, offering a durable solution when endovascular methods fail.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurosurgery
Background:
- Restenosis following carotid artery stenting (CAS) raises concerns about long-term durability.
- Recurrent stenosis after multiple endovascular interventions presents a clinical challenge.
Background:
Restenosis after carotid artery stenting has raised concerns regarding the long-term durability of carotid stenting. Recurrent restenosis after multiple endovascular interventions may pose a challenge for clinicians.
Case Description:
We encountered 2 cases of intractable restenosis after redo-carotid artery stenting and performed carotid endarterectomy. We removed the embedded stent and plaque simultaneously, used the internal shunting system, and performed patch angioplasty with no further recurrence.
Conclusion:
Carotid endarterectomy could be considered as a first-line treatment for recurrent stenosis that proves refractory to multiple endovascular interventions.
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