• World Neurosurg · Jan 2021

    Case Reports

    Carotid endarterectomy for intractable repetitive stenosis following carotid artery stenting.

    • Daisuke Sato, Shotaro Ogawa, So Fujimoto, Takeya Suzuki, Masayuki Ueda, and Takahiro Ota.
    • Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
    • World Neurosurg. 2021 Jan 1; 145: 311-314.

    BackgroundRestenosis 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 DescriptionWe 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.ConclusionCarotid endarterectomy could be considered as a first-line treatment for recurrent stenosis that proves refractory to multiple endovascular interventions.Copyright © 2020 Elsevier Inc. All rights reserved.

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