open access

Vol 14, No 3 (2008)
Original papers
Published online: 2008-08-10
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Long-term results of endovascular treatment for recurrent stenosis of the carotid arteries

Robert Juszkat, Fryderyk Pukacki, Zbigniew Krasiński, Grzegorz Oszkinis, Ryszard Staniszewski, Jerzy Kulesza, Katarzyna Pawlaczyk, Wacław Majewski
Acta Angiologica 2008;14(3):92-101.

open access

Vol 14, No 3 (2008)
Original papers
Published online: 2008-08-10

Abstract

Background. Percutaneous angioplasty of recurrent stenosis of the carotid arteries with simultaneous stent implantation is an alternative to surgical intervention. The observations made and the long-term effects of the above-mentioned treatment are the subject of this paper.
Material and methods. In 2001-2004, in 20 patients with recurrent stenosis of the carotid arteries, angiography with stent implantation was performed after reboring. In the control imaging (DSA and Dopplerduplex), the technical effect of the intravascular procedure was assessed. Special attention was paid to stent dilatation, as well as to the spectrum and speed of blood flow in the carotid arteries. Nineteen patients were put under observation for 18–24 months, with control tests every 90 days.
Results. One patient died shortly after the intravascular procedure. During the long-term observation period, a haemodynamically significant recurrence of stenosis was observed in 3 of 19 patients. In 2 of the patients, an additional stent was implanted. Treatment of the third patient was limited to expansion of the constricted stent. The rest of the patients displayed neither clinical nor radiological signs of carotid artery stenosis.
Conclusions. Intravascular procedures are an effective and safe method of treating recurrent stenosis of the internal carotid artery. After angioplasty and stent implantation, patients require periodic ultrasound assessment due to the possibility of stenosis recurrence, which most often affects the area of the common carotid artery neighbouring the proximal segment of the implanted stent.

Abstract

Background. Percutaneous angioplasty of recurrent stenosis of the carotid arteries with simultaneous stent implantation is an alternative to surgical intervention. The observations made and the long-term effects of the above-mentioned treatment are the subject of this paper.
Material and methods. In 2001-2004, in 20 patients with recurrent stenosis of the carotid arteries, angiography with stent implantation was performed after reboring. In the control imaging (DSA and Dopplerduplex), the technical effect of the intravascular procedure was assessed. Special attention was paid to stent dilatation, as well as to the spectrum and speed of blood flow in the carotid arteries. Nineteen patients were put under observation for 18–24 months, with control tests every 90 days.
Results. One patient died shortly after the intravascular procedure. During the long-term observation period, a haemodynamically significant recurrence of stenosis was observed in 3 of 19 patients. In 2 of the patients, an additional stent was implanted. Treatment of the third patient was limited to expansion of the constricted stent. The rest of the patients displayed neither clinical nor radiological signs of carotid artery stenosis.
Conclusions. Intravascular procedures are an effective and safe method of treating recurrent stenosis of the internal carotid artery. After angioplasty and stent implantation, patients require periodic ultrasound assessment due to the possibility of stenosis recurrence, which most often affects the area of the common carotid artery neighbouring the proximal segment of the implanted stent.
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Keywords

endovascular treatment; recurrent stenosis of carotid arteries

About this article
Title

Long-term results of endovascular treatment for recurrent stenosis of the carotid arteries

Journal

Acta Angiologica

Issue

Vol 14, No 3 (2008)

Pages

92-101

Published online

2008-08-10

Bibliographic record

Acta Angiologica 2008;14(3):92-101.

Keywords

endovascular treatment
recurrent stenosis of carotid arteries

Authors

Robert Juszkat
Fryderyk Pukacki
Zbigniew Krasiński
Grzegorz Oszkinis
Ryszard Staniszewski
Jerzy Kulesza
Katarzyna Pawlaczyk
Wacław Majewski

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