Treatment of restenosis after percutaneous transluminal angioplasty for internal carotid artery stenosis

2000 ◽  
Vol 42 (4) ◽  
pp. 296-301 ◽  
Author(s):  
T. Terada ◽  
M. Tsuura ◽  
O. Masuo ◽  
H. Matsumoto ◽  
H. Yamaga ◽  
...  
1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 187-190
Author(s):  
J. Nishizaki ◽  
Y. Arakawa ◽  
A. Ishii ◽  
M. Morimoto ◽  
H. Yoshizumi ◽  
...  

A 67 year-old male who had suffered from myocardial infarction, was admitted to our clinic to examine his internal carotid artery stenosis revealed by preoperative study for heart surgery. Although he had no neurological symptoms, the angiograms showed severe stenosis of his right internal carotid artery. To improve stenotic internal carotid artery, PTA was performed employing a self-expanding stent. The stenotic right internal carotid artery was improved from 75% to 11% immediately after the stenting though restenosis mildly occurred up to 16% three months later. No complication occurred during this stenting procedure. Afterwards the patient uneventfully received coronary artery bypass grafting (CABG) surgery.


1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 37-40 ◽  
Author(s):  
S. Yoshimura ◽  
Y. Kaku ◽  
T. Ueda ◽  
K. Hayashi ◽  
Y. Nishimura ◽  
...  

Percutaneous transluminal angioplasty (PTA) is currently performed as a therapeutic strategy for the management of the cervical carotid artery stenosis. In our clinic, PTA was performed successfully in all 24 patients initially. Restenosis was observed in 4 of 24 patients who received 3 to 6 month follow-up angiography. Repeated PTA was performed in 4 patients, 3 of whom were successfully treated, while severe wall dissection occurred in 1 patient. Furthermore, asymptomatic re-restenosis was noted in 1 of 4 patients who received repeated PTA. Dissection was noted in 5 of 28 procedures, which occurred more often in the patients with calcified or restenotic lesions. These results suggest that stenting or emergent surgery should be prepared in PTA of the carotid artery stenosis to avoid major complications, especially when the patients have calcified or restenotic lesions.


1964 ◽  
Vol 51 (9) ◽  
pp. 703-709 ◽  
Author(s):  
P. H. Dickinson ◽  
John Hankinson ◽  
Merlin Marshall

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