BACKGROUND AND PURPOSE We sought to determine the incidence of recurrent stenosis after carotid endarterectomy. METHODS One thousand consecutive carotid endarterectomy patients were followed prospectively. The surgery was performed in a standard fashion. Cerebral protection was provided with intraoperative electroencephalographic monitoring and selective shunting. All arteriotomies were repai...

Background and Purpose—Radiation-induced stenoses of the carotid artery are associated with fibrosis of the arterial layers and tissue planes that renders their surgical treatment difficult. We present our clinical experience in carotid angioplasty stenting (CAS) of patients harboring such stenoses. Methods—Seven patients underwent transfemoral CAS of 10 radiation-induced stenoses located on ei...

BACKGROUND Restenosis after carotid artery stenting (CAS) is a poorly described phenomenon. Studies have reported a variable incidence ranging from 4% to 19.7% at 1 year of follow-up. Doppler Ultrasound (DUS) is now routinely used in the follow-up after CAS and endarterectomy with optimal accuracy in detecting significant restenosis, compared to digital subtraction angiography (DSA). CASE REP...

Haemodynamic depression is commonly defined as a change in arterial pressure (hypotension with systolic pressure values of less than 90 mmHg) and heart rate (bradycardia, heart rate of less than 60 beats per minute). Carotid angioplasty and stenting (CAS) can result in many complications, particularly in the perioperative period. Apart from the most serious complications, such as stroke and tem...

Carotid Intervention in Asymptomatic Patients To the Editor: I read with interest the commentary by Dr Qureshi regarding the present guidelines for carotid angioplasty and stenting.1 I agree with the conclusion regarding the need for further data from randomized controlled trials to clarify the present guidelines. However, the author also mentions one present indication for carotid stenting fro...

To determine whether balloon angioplasty can provoke arterial vasoconstriction independent of platelet aggregation and neurogenic input, we studied the spontaneous vasomotor effects of balloon dilatation in isolated, perfused whole-vessel segments of rabbit aorta and pig carotid artery. Freshly dissected rabbit thoracic aortas were mounted in a muscle bath-perfusion chamber, perfused with physi...

Fibromuscular dysplasia (FMD), a vascular disease of unknown etiology, most often affects the renal arteries (85% of cases) of young females [1] . However, this disease may also produce areas of stenosis at the C1-C2 vertebral level in the internal carotid artery (ICA) [1, 2]. Lesions producing symptoms have been managed by bougie dilatation, surgical endarterectomy, excision and artery reconst...

Two cases of vein patch blowout were observed five and seven days after carotid bifurcation endarterectomy with patch angioplasty. Both patients died in spite of emergency reoperation. One patient developed respiratory failure with subsequent fatal cardiac arrest seven days after reoperation; the other died of extensive hemispheric infarction on the fifth postoperative day. At reoperation both ...