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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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REVIEWS  AN UPDATE ON CAROTID ARTERY STENTING


The Journal of Cardiovascular Surgery 2008 December;49(6):743-7

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Factors influencing restenosis after carotid aretery stenting

Van Laanen J. 1, Hendriks J. M. 1, Van Sambeek M. R. H. M. 2

1 Department of Vascular Surgery Erasmus MC, Rotterdam, The Netherlands 2 Department of Vascular Surgery Catharina Hospital, Eindhoven, The Netherlands


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Many studies have published perioperative clinical results, but the incidence of restenosis and late stroke after carotid artery stenosis is poorly documented. Duplex ultrasonography is the most commonly used technique to follow in-stent restenosis after carotid aretery stenting (CAS), but, the ultrasound criteria for determining a restenosis after stent implantation are very heterogeneous. This review of the literature showed that the long-term in-stent restenosis rate after CAS appears to be acceptable and that restenosis is mainly asymptomatic. Suggested predictors of in-stent restenosis after CAS are advanced age, female gender, implantation of multiple stents, prior revascularization treatment, suboptimal result with residual stenosis, elevated postprocedural serum levels of acute-phase reactants, asymptomatic lesion, use of balloon expandable stents.

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