D Heck1. 1. Triad Radiology Associates, Director of Interventional Neuroradiology, Forsyth Stroke and Neurovascular Center. dvheck@triad.rr.com
Abstract
BACKGROUND/ PURPOSE: The optimal management of carotid artery in-stent restenosis is not well described. Reported here is experience with cutting balloon angioplasty in six patients with long-term follow-up. METHODS: A single-operator, prospective, elective, carotid artery stent registry (n = 296) was reviewed for patients who underwent retreatment for early (within 6 months) in-stent restenosis after carotid artery stenting (CAS). Six patients were identified. All were treated with cutting balloons. Procedural outcome and long-term follow-up was collected from the registry and hospital records. RESULTS: Cutting balloon angioplasty was technically successful and uncomplicated in all six treated patients. The procedure was durable in 5/6 (range of follow-up 3-36 months, median = 24 months). CONCLUSIONS: Cutting balloon angioplasty is an effective initial treatment for severe carotid in-stent restenosis.
BACKGROUND/ PURPOSE: The optimal management of carotid artery in-stent restenosis is not well described. Reported here is experience with cutting balloon angioplasty in six patients with long-term follow-up. METHODS: A single-operator, prospective, elective, carotid artery stent registry (n = 296) was reviewed for patients who underwent retreatment for early (within 6 months) in-stent restenosis after carotid artery stenting (CAS). Six patients were identified. All were treated with cutting balloons. Procedural outcome and long-term follow-up was collected from the registry and hospital records. RESULTS: Cutting balloon angioplasty was technically successful and uncomplicated in all six treated patients. The procedure was durable in 5/6 (range of follow-up 3-36 months, median = 24 months). CONCLUSIONS: Cutting balloon angioplasty is an effective initial treatment for severe carotid in-stent restenosis.
Authors: Francesco Stilo; Nunzio Montelione; Rosalinda Calandrelli; Marisa Distefano; Francesco Spinelli; Vincenzo Di Lazzaro; Fabio Pilato Journal: Ann Transl Med Date: 2020-10