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Online ISSN 1827-1847
Wahlgren C. M., Prema J., Spiguel L., Skelly C. L.
Section of Vascular Surgery, Department of Surgery University of Chicago, Chicago, IL, USA
Carotid artery angioplasty and stenting (CAS) with embolic protection has quickly become the treatment of choice for symptomatic patients felt to be too high a risk for open carotid endarterectomy secondary to co-morbidities or anatomical considerations. It is important to define not only its durability, but also the potential patients at risk for in-stent restenosis (ISR), a leading concern following arterial angioplasty and stenting. The purpose of this paper is to review ISR after CAS. To accomplish this, we will discuss: 1) identifiable risk factors; 2) etiology and evaluation; and finally 3) treatment and outcomes in patients with ISR.