VOLUME 33 - NUMBER 3 - 2012

Prosthetic carotid bypass graft for in-stent restenosis performed for post-endarterectomy recurrent stenosis: technical details

  • Siani A., Accrocca F., Siani L.M., Gabrielli R., Antonelli R., Giordano G.A., Marcucci G.
  • Methods, Techniques, Drugs, 95-97
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  • Aim. Carotid artery stenting (CAS) is the treatment of choice for recurrent stenosis after carotid endarterectomy (CEA). However a significative incidence of in-stent restenosis could be occurred. Despite classical CEA leads to good results, in selective cases bypass graft may be the best treatment of in-stent restenosis.

    Case reports. We describe two cases of carotid bypass graft performed to treat a recurrent in-stent stenosis after CAS for post-CEA restenosis. No death and cardiac complication occurred and no cranial nerves impairment was detected.

    Conclusion. Prosthetic bypass graft is safe and effective in treatment of in-stent recurrent restenosis after CEA restenosis.

  • KEY WORDS: Carotid stent - Carotid surgery - In-stent restenosis.