Key result
CEA with stent removal successfully treats recurrent post-CAS in-stent restenosis without complications.
Case Report (n=1)
Carotid endarterectomy with stent removal may be a viable treatment option for patients with repeated in-stent restenosis after carotid artery stenting.
May support endarterectomy with stent removal for repeated carotid in-stent restenosis; leaves open need for prospective evaluation before wider use.
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.
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Takahashi et al. (2022) conducted a case report in Repeated in-stent restenosis after carotid artery stenting (n=1). Carotid endarterectomy (CEA) with stent removal was evaluated on Restenosis or other complications. Carotid endarterectomy with stent removal was successfully performed without restenosis or other complications in a 78-year-old man with repeated in-stent restenosis after carotid artery stenting.
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