Secondary recurrent carotid stenosis

Purpose: Recurrent carotid stenosis after carotid endarterectomy has been extensively reported. The occurrence, however, of another ipsilateral restenosis that requires a third carotid operation is rare. The purpose of this study was to evaluate possible risk factors and the most efficacious managem...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of vascular surgery 1996-09, Vol.24 (3), p.424-429
Hauptverfasser: Rosenthal, David, Archie, Joseph P., Avila, Mario H., Bandyk, Dennis F., Carmichael, J.Donald, Clagett, G.Patrick, Hamman, Jack L., Lee, Hyung M., Liebman, Paul R., Mills, Joseph L., Minken, Stanley L., Plonk, Georgia W., Posner, Marc P., Smith, Robert B., String, S.Timothy
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Purpose: Recurrent carotid stenosis after carotid endarterectomy has been extensively reported. The occurrence, however, of another ipsilateral restenosis that requires a third carotid operation is rare. The purpose of this study was to evaluate possible risk factors and the most efficacious management of the patient with “secondary” recurrent carotid stenosis. Methods: A survey of the Southern Association for Vascular Surgery was performed, and 31 patients who had had surgery for secondary recurrent carotid stenosis were identified. Results: The mean interval between the recurrent stenosis operation and secondary recurrent carotid stenosis was 39.8 months (range, 9 to 83 months). At the third operation, 21 patients underwent carotid patch angioplasty and 10 underwent carotid resection with an interposition saphenous vein graft. No postoperative strokes or deaths occurred; three patients (10%) had a peripheral nerve injury. Nine early (
ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(96)70198-2