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Italian Journal of Vascular and Endovascular Surgery 2007 June;14(2):103-14

Copyright © 2007 EDIZIONI MINERVA MEDICA

lingua: Inglese

Restenosis after carotid angioplasty and stent. A review

Wahlgren C. M., Prema J., Spiguel L., Skelly C. L.

Section of Vascular Surgery, Department of Surgery University of Chicago, Chicago, IL, USA


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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.

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