Key result
Surgical treatment with stent removal and vein patch angioplasty was used to treat a 90% ipsilateral secondary recurrent internal carotid artery stenosis.
Case Report (n=1)
Prophylactic surgical treatment with stent removal and vein patch angioplasty may be a safe option for secondary recurrent carotid stenosis >80% after endovascular treatment.
Should not change practice for recurrent carotid stenosis; single case leaves open comparative safety and durability of surgical revision.
This paper describes a case of secondary recurrent internal carotid artery stenosis after angioplasty and stenting which required surgical intervention. A 72-year old women presented one year after a standard internal carotid artery endarterectomy with an asymptomatic restenosis that was treated with angioplasty and stenting. Six months later the patient presented with a 90% ipsilateral secondary recurrent stenosis that was treated surgically with stent removal and vein patch angioplasty. Ipsilateral secondary recurrent internal carotid artery restenosis is a rare occurrence especially after endovascular treatment. We believe that prophylactic surgical treatment could be a good and safe option for stenoses of more than 80%.
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Valenti et al. (2003) conducted a case report in Secondary recurrent internal carotid artery stenosis (n=1). Surgical treatment with stent removal and vein patch angioplasty was evaluated. Surgical treatment with stent removal and vein patch angioplasty was used to treat a 90% ipsilateral secondary recurrent internal carotid artery stenosis.
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