Cargando…
Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review
BACKGROUND: Percutaneous transcatheter angioplasty (PTA) and carotid artery stenting (CAS) are often performed repeatedly for in-stent restenosis (ISR) after CAS. Only a few reports describe the treatment for repeated ISR. Furthermore, only a few reports describe carotid endarterectomy (CEA) after C...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168307/ https://www.ncbi.nlm.nih.gov/pubmed/35673638 http://dx.doi.org/10.25259/SNI_1222_2021 |
_version_ | 1784720977479860224 |
---|---|
author | Takahashi, Yuichi Higashida, Tetsuhiro Uchida, Takanori Watanabe, Saiko Kanazawa, Ryuzaburo |
author_facet | Takahashi, Yuichi Higashida, Tetsuhiro Uchida, Takanori Watanabe, Saiko Kanazawa, Ryuzaburo |
author_sort | Takahashi, Yuichi |
collection | PubMed |
description | BACKGROUND: Percutaneous transcatheter angioplasty (PTA) and carotid artery stenting (CAS) are often performed repeatedly for in-stent restenosis (ISR) after CAS. Only a few reports describe the treatment for repeated ISR. Furthermore, only a few reports describe carotid endarterectomy (CEA) after CAS; thus, the evidence for this procedure is insufficient. CASE DESCRIPTION: Herein, we describe a case in which CEA with stent removal was performed in a patient with repeated ISR after CAS. A 78-year-old man presented with dysarthria and slight left limb weakness. CAS was performed for the right internal carotid artery stenosis. ISR occurred again and PTA and stenting were performed. After the second CAS, ISR occurred again. CEA with stent removal was performed. After the CEA with stent removal, the patient experienced no restenosis or other complications. CONCLUSION: CEA with stent removal can be a good option for treating repeated ISR after CAS. |
format | Online Article Text |
id | pubmed-9168307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-91683072022-06-06 Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review Takahashi, Yuichi Higashida, Tetsuhiro Uchida, Takanori Watanabe, Saiko Kanazawa, Ryuzaburo Surg Neurol Int Case Report BACKGROUND: Percutaneous transcatheter angioplasty (PTA) and carotid artery stenting (CAS) are often performed repeatedly for in-stent restenosis (ISR) after CAS. Only a few reports describe the treatment for repeated ISR. Furthermore, only a few reports describe carotid endarterectomy (CEA) after CAS; thus, the evidence for this procedure is insufficient. CASE DESCRIPTION: Herein, we describe a case in which CEA with stent removal was performed in a patient with repeated ISR after CAS. A 78-year-old man presented with dysarthria and slight left limb weakness. CAS was performed for the right internal carotid artery stenosis. ISR occurred again and PTA and stenting were performed. After the second CAS, ISR occurred again. CEA with stent removal was performed. After the CEA with stent removal, the patient experienced no restenosis or other complications. CONCLUSION: CEA with stent removal can be a good option for treating repeated ISR after CAS. Scientific Scholar 2022-05-06 /pmc/articles/PMC9168307/ /pubmed/35673638 http://dx.doi.org/10.25259/SNI_1222_2021 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Takahashi, Yuichi Higashida, Tetsuhiro Uchida, Takanori Watanabe, Saiko Kanazawa, Ryuzaburo Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title | Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title_full | Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title_fullStr | Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title_full_unstemmed | Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title_short | Carotid endarterectomy with stent removal for recurring in-stent restenosis: A case report and literature review |
title_sort | carotid endarterectomy with stent removal for recurring in-stent restenosis: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168307/ https://www.ncbi.nlm.nih.gov/pubmed/35673638 http://dx.doi.org/10.25259/SNI_1222_2021 |
work_keys_str_mv | AT takahashiyuichi carotidendarterectomywithstentremovalforrecurringinstentrestenosisacasereportandliteraturereview AT higashidatetsuhiro carotidendarterectomywithstentremovalforrecurringinstentrestenosisacasereportandliteraturereview AT uchidatakanori carotidendarterectomywithstentremovalforrecurringinstentrestenosisacasereportandliteraturereview AT watanabesaiko carotidendarterectomywithstentremovalforrecurringinstentrestenosisacasereportandliteraturereview AT kanazawaryuzaburo carotidendarterectomywithstentremovalforrecurringinstentrestenosisacasereportandliteraturereview |