PT  - JOURNAL ARTICLE
AU  - D Heck
TI  - 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
AID  - 10.1136/jnis.2009.000323
DP  - 2009 Jul 01
TA  - Journal of NeuroInterventional Surgery
PG  - 48--50
VI  - 1
IP  - 1
4099  - http://jnis.bmj.com/content/1/1/48.short
4100  - http://jnis.bmj.com/content/1/1/48.full
SO  - J NeuroIntervent Surg2009 Jul 01; 1
AB  - 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.