Introduction: The optimal treatment of in-stent restenosis (ISR) is not determined. We describe the efficacy of carotid endarterectomy (CEA) with stent removal in the management of symptomatic ISR. Methods: A 72-year-old man presented with recurrent right limb weakness 8 months after carotid artery stenting. Digital substraction angiography showed severe ISR (almost 99%). CEA with stent removal was performed. Results: A total of 41 cases was reviewed: periarterial inflammation was shown in 10.3% of patients; 92.9% had clear intima media plane; and 85.4% had a good outcome. All patients remained stable at follow-up. Discussion: CEA with stent removal appears to be a safe, feasible, effective, and durable therapeutic option. (C) 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
基金:
National Key Technology R&D Program in the 11th Five year Plan of China [2006BAI01A13]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, 6 Tiantan Xili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Zheng J.,Liu L.,Cao Y.,et al.Carotid Endarterectomy with Stent Removal in Management of In-stent Restenosis: A Safe, Feasible, and Effective Technique[J].EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY.2014,47(1):8-12.doi:10.1016/j.ejvs.2013.10.011.
APA:
Zheng, J.,Liu, L.,Cao, Y.,Zhang, D.,Wang, R.&Zhao, J..(2014).Carotid Endarterectomy with Stent Removal in Management of In-stent Restenosis: A Safe, Feasible, and Effective Technique.EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY,47,(1)
MLA:
Zheng, J.,et al."Carotid Endarterectomy with Stent Removal in Management of In-stent Restenosis: A Safe, Feasible, and Effective Technique".EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY 47..1(2014):8-12