Instent restenosis after carotid stenting necessitating open carotid surgical repair.

A 64-year-old male presented with amaurosis fugax and presyncope as symptomatic 80%-in-stent restenosis (60 mm stent) 17 months after right internal carotid artery intervention (Fig. 1). Intraoperatively the carotid-stent was completely explanted (Fig. 2). Venous patch plasty was performed. He recovered early without any ischemic event. At follow-up 6 months later the patient remained completely asymptomatic. European Journal of Cardio-thoracic Surgery 26 (2004) 442–443 www.elsevier.com/locate/ejcts