Results of cutting balloon angioplasty for carotid artery in-stent restenosis in six patients: description of the technique, long-term outcomes, and review of the literature
- Triad Radiology Associates, Director of Interventional Neuroradiology, Forsyth Stroke and Neurovascular Center
- Correspondence to
Don Heck, 3155 Maplewood Avenue, Winston-Salem, North Carolina 27106, USA; dvheck{at}triad.rr.com
- Received 8 March 2009
- Revised 28 March 2009
- Accepted 2 April 2009
Abstract
Background/purpose The optimal management of carotid artery in-stent restenosis is not well described. Reported here is experience with cutting balloon angioplasty in six patients with long-term follow-up.
Methods A single-operator, prospective, elective, carotid artery stent registry (n = 296) was reviewed for patients who underwent retreatment for early (within 6 months) in-stent restenosis after carotid artery stenting (CAS). Six patients were identified. All were treated with cutting balloons. Procedural outcome and long-term follow-up was collected from the registry and hospital records.
Results Cutting balloon angioplasty was technically successful and uncomplicated in all six treated patients. The procedure was durable in 5/6 (range of follow-up 3–36 months, median = 24 months).
Conclusions Cutting balloon angioplasty is an effective initial treatment for severe carotid in-stent restenosis.
Keywords:
Footnotes
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Competing interests Local PI for SAPPHIRE WW, CHOICE, CABANA, CREST, ACT I.
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Patient consent Obtained.
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Ethics approval Obtained.
