Impact of carotid artery angioplasty and stenting on management of recurrent carotid artery stenosis

Annals of Vascular Surgery
Caron B RockmanT S Riles

Abstract

Citing the higher perioperative risk of redo carotid surgery, balloon angioplasty and stenting of the carotid artery (CAS) has been advocated for recurrent carotid stenosis (RCS). To examine the impact of CAS on the management and outcome of recurrent stenosis, a retrospective review of a prospectively compiled database was performed. From a registry of patients treated for carotid disease, 105 procedures were performed from 1992 to 2002 for RCS. For comparison, two study groups were examined. Time I consisted of 77 reoperations performed through 1998, before CAS was introduced at our institution. Time II included 12 reoperations and 16 CAS procedures performed for RCS from 1999 through 2002. Using perioperative stroke as a measure of outcome, the results for time II were poorer than for time I (7.2% vs. 5.2%, p = NS). Overall, the risk of perioperative stroke was the same for reoperation (5/89) and CAS (1/16) (5.6% vs. 6.3%, p = NS). Although not statistically significant, there was a trend toward a higher risk of perioperative stroke for patients treated with reoperation during the latter time period (8.3% vs. 5.2%, p = NS). This probably relates to the finding that during time II, CAS was most likely to be used in asymptomat...Continue Reading

References

Nov 1, 1996·Stroke; a Journal of Cerebral Circulation·J S YadavJ Vitek
Dec 12, 2001·Stroke; a Journal of Cerebral Circulation·A F AbuRahmaP A Robinson
Jan 7, 2003·Journal of Vascular Surgery·Antonios P GasparisJohn J Ricotta

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Citations

Jan 27, 2005·Neurosurgical Focus·Christopher J KoebbeRobert Rosenwasser
Jan 5, 2013·The British Journal of Surgery·K BekelisN Labropoulos
Mar 23, 2010·Journal of Vascular Surgery·Raphaël CoscasFabien Koskas
Jan 11, 2007·Journal of Vascular Surgery·Gerrit J de BorstFrans L Moll
Sep 5, 2006·Journal of Vascular Surgery·Craig R Narins, Karl A Illig
Jan 18, 2007·Neuroradiology·Yasha KadkhodayanDeWitte T Cross
Dec 1, 2007·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·G OszkinisJ Krejza
Oct 4, 2005·Neurological Research·Christopher J KoebbeRobert Rosenwasser

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