Carotid stenting for restenosis after endarterectomy

Andrew Counsell, Jonathan Ghosh, Charles C N McCollum, Raymond Ashleigh

    Research output: Contribution to journalArticlepeer-review


    Introduction: Restenosis after carotid endarterectomy (CEA) has been described in 8-19% of patients, 14-23% of whom become symptomatic. This study analyzes our experience with carotid artery stenting (CAS) for post-CEA recurrent stenoses. Method: Retrospective database and case-note review. Results: Between January 2000 and September 2008, a total of 27 patients (15 symptomatic) with hemodynamically significant internal carotid artery post-CEA restenosis underwent CAS. Median stenosis of target vessels was 90% (range 75-95%). There was one periprocedural death (3.7%); no others occurred during the median 34-month follow-up (range 0.1-84 months). There was one late transient ischemic attack 12 months after CAS that was not associated with in-stent restenosis. One 90% restenosis and one occlusion were detected during follow-up at 38 and 57 months after CAS. The remaining patients had no evidence of further restenosis and remained free from cerebrovascular symptoms. Conclusion: CAS offers a feasible option for the management of carefully selected patients with symptomatic and asymptomatic restenosis after CEA. © 2010 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
    Original languageEnglish
    Pages (from-to)488-492
    Number of pages4
    JournalCardiovascular and Interventional Radiology
    Issue number3
    Publication statusPublished - Jun 2011


    • Carotid endarterectomy
    • Carotid stent
    • Restenosis


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