Carotid endarterectomy for treatment of carotid in-stent restenosis:longterm follow-up results and surgery experiences from one single centre

作     者：Le-Bao Yu Wei Yan Qian Zhang Ji-Zong Zhao Yan Zhang Rong Wang Jun-Shi Shao Dong Zhang 

作者机构：Department of NeurosurgeryBeijing Tiantan HospitalCapital Medical UniversityBeijingChina China National Clinical Research Center for Neurological Diseases(NCRC-ND)BeijingChina Center of StrokeBeijing Institute for Brain DisordersBeijingChina Beijing Key Laboratory of Translational Medicine for Cerebrovascular DiseaseBeijingChina Department of NeurosurgeryBeijing Mi Yun HospitalCapital Medical UniversityBeijingChina 

出 版 物：《Stroke & Vascular Neurology》 (卒中与血管神经病学（英文）)

年 卷 期：2017年第2卷第3期

页      面：140-146页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：The China National Clinical Research Center for Neurosurgical Diseases(NCRC-ND)(2015BAI12B04) The Program of the National Natural Science Foundation of China(81371292) 

主　　题：carotid restenosis sustained 

摘      要：Objective Few studies have reported the surgical treatment of carotid in-stent restenosis(ISR),more data and longer follow-up are *** describe the surgical treatment of ISR by standard carotid endarterectomy(CEA)with stent removal,including long-term follow-up in 10 patients from our *** Ten patients from our centre who underwent CEA with stent removal for ISR were retrospectively analysed,including nine symptomatic and one asymptomatic ISR of at least 70%with mean age 67.3,the median time between carotid artery stenting and CEA was 17 months(range,2-54 months).results Standard CEA with stent removal was performed in all 10 patients without much technical difficulty(9 male and 1 female,mean age 67.3).Two cases were performed in hybrid operation *** were a total of three complications that happened in three patients(30%)*** asymptomatic dissecting aneurysm was formed on the petrous internal carotid artery in one patient who was followed up without *** the second case,dissection occurred in the arterial wall distal to the site of the stent after stent removal revealed by intraoperative angiography,and another stent was *** patient sustained temporary hypoglossal nerve dysfunction *** third patient suffered cerebral hyperperfusion with complete recovery when *** neurological complications occurred in other seven *** follow-up of 25 months(range,11-54 months),one patient died of rectal cancer without ischaemic attack and restenosis 4 years postoperation;in one patient occurred recurrent symptomatic restenosis(90%)1 year later;all other patients remained asymptomatic and without recurrent restenosis(50%)by follow-up carotid ultrasound or CT *** It seems that CEA with stent removal is a reasonable choice,by experienced hand,for symptomatic ISR with higher but acceptable *** indication of stent removal for asymptomatic ISR needs further observati