Percutaneous transluminal angioplasty for carotid artery stenosis in Takayasu arteritis: Persistent benefit over 10 years

Percutaneous transluminal angioplasty (PTA) and stenting has recently been proposed as an alternative to surgical reexploration in patients with recurrent carotid artery stenosis following endarterectomy. The authors retrospectively reviewed their experience after performing 25 procedures in 21 patients to assess the safety and efficacy of PTA with or without stenting for carotid artery restenosis. The mean interval between endarterectomy and the endovascular procedure was 57 months (range 8-220 months). Seven arteries in five patients were treated by PTA alone (including bilateral procedures in one patient and repeated angioplasty in the same vessel in another). Early suboptimum results and recurrent stenosis in some of these initial cases prompted the authors to combine PTA with stenting in the treatment of 18 arteries over the past 3 years. No major periprocedural deficits (neurological or cardiac complications) or death occurred. There was one periprocedural transient neurological event. A pseudoaneurysm of the femoral artery (at the access site) required surgical repair. In the 16 patients who each underwent at least 6 months of follow-up review, no neurological events ipsilateral to the treated artery had occurred after a mean follow-up period of 27 months (range 6-57 months). Three of five patients who underwent PTA alone developed significant (> 50%) asymptomatic restenoses that required repeated angioplasty in one and PTA with stenting in two patients. Significant restenosis (55%) was observed in only one of the vessels treated by combined angioplasty with stenting. Endovascular PTA and stenting of recurrent carotid artery stenosis is both technically feasible and safe and has a satisfactory midterm patency. This procedure can be considered a viable alternative to surgical reexploration in patients with recurrent carotid artery stenosis.

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Percutaneous transluminal angioplasty for cervical carotid artery stenosis

Nosotchu ◽

10.3995/jstroke.7.142 ◽

1985 ◽

Vol 7 (2) ◽

pp. 142-149

Author(s):

Nobumasa Kuwana ◽

Yasuhiko Mochimatsu ◽

Hideyo Fujino ◽

Akihito Saito ◽

Nobuaki Mashimo

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Artery Stenosis ◽

Percutaneous Transluminal

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Percutaneous transluminal angioplasty for bilateral symptomatic internal carotid artery stenosis due to fibromuscular dysplasia

Nosotchu ◽

10.3995/jstroke.32.282 ◽

2010 ◽

Vol 32 (3) ◽

pp. 282-289

Author(s):

Takehiro Suyama ◽

Munenori Nagashima ◽

Hiroshi Hasegawa ◽

Shinsuke Tominaga

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Fibromuscular Dysplasia ◽

Internal Carotid ◽

Transluminal Angioplasty ◽

Internal Carotid Artery Stenosis ◽

Artery Stenosis ◽

Percutaneous Transluminal

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Treatment of Cervical Carotid Artery Stenosis

Interventional Neuroradiology ◽

10.1177/15910199040100s206 ◽

2004 ◽

Vol 10 (2_suppl) ◽

pp. 27-30 ◽

Cited By ~ 1

Author(s):

S. Yoshimura

Keyword(s):

Carotid Artery ◽

Medical Treatment ◽

Carotid Endarterectomy ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Artery Stenosis ◽

Current Status ◽

Percutaneous Transluminal

As treatment for cervical carotid artery stenosis, medical treatment, carotid endarterectomy (CEA), and percutaneous transluminal angioplasty (PTA) with/without stenting are known. In this report, we review the history and current status of these treatments. Comparison between CEA and PTA/stenting is further discussed based on recent clinical reports and evidence.

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Percutaneous Transluminal Angioplasty for Experimental Carotid Artery Stenosis

Neurologia medico-chirurgica ◽

10.2176/nmc.29.715 ◽

1989 ◽

Vol 29 (8) ◽

pp. 715-723 ◽

Cited By ~ 6

Author(s):

Eiji MAEMURA

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Artery Stenosis ◽

Percutaneous Transluminal

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Percutaneous transluminal angioplasty and stent placement for recurrent carotid artery stenosis

Journal of Neurosurgery ◽

10.3171/jns.1999.90.4.0688 ◽

1999 ◽

Vol 90 (4) ◽

pp. 688-694 ◽

Cited By ~ 94

Author(s):

Giuseppe Lanzino ◽

Robert A. Mericle ◽

Demetrius K. Lopes ◽

Ajay K. Wakhloo ◽

Lee R. Guterman ◽

...

Keyword(s):

Carotid Artery ◽

Stent Placement ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Transluminal Angioplasty ◽

Artery Stenosis ◽

Content Type ◽

Percutaneous Transluminal ◽

Fine Print

Object. Treatment consisting of percutaneous transluminal angioplasty (PTA) and stent placement has recently been proposed as an alternative to surgical reexploration in patients with recurrent carotid artery stenosis following endarterectomy. The authors retrospectively reviewed their experience after performing 25 procedures in 21 patients to assess the safety and efficacy of PTA with or without stent placement for carotid artery restenosis.Methods. The mean interval between endarterectomy and the endovascular procedures was 57 months (range 8–220 months). Seven arteries in five patients were treated by PTA alone (including bilateral procedures in one patient and repeated angioplasty in the same vessel in another). Early suboptimum results and recurrent stenosis in some of these initial cases prompted the authors to combine PTA with stent placement in the treatment of 18 arteries over the past 3 years. No major periprocedural deficits (neurological or cardiac complications) or death occurred. There was one periprocedural transient neurological event, and in one patient a pseudoaneurysm of the femoral artery (at the access site) required surgical repair. In the 16 patients who each underwent at least 6 months of follow-up review, no neurological events ipsilateral to the treated artery had occurred after a mean follow-up period of 27 months (range 6–57 months). Three of five patients who underwent PTA alone developed significant (> 50%) asymptomatic restenoses that required repeated angioplasty in one and PTA with stent placement in two patients. Significant restenosis (55%) was observed in only one of the vessels treated by combined angioplasty and stent placement.Conclusions. Endovascular PTA and stenting of recurrent carotid artery stenosis is both technically feasible and safe and has a satisfactory midterm patency. This procedure can be considered a viable alternative to surgical reexploration in patients with recurrent carotid artery stenosis.

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