Carotid endarterectomy for treatment of in-stent restenosis

J Vasc Surg. 2011 Oct;54(4):1167-9. doi: 10.1016/j.jvs.2011.04.009. Epub 2011 Jun 12.


In-stent restenosis (ISR) after carotid angioplasty and stenting is becoming evident as more patients undergo carotid stenting and duplex scan surveillance. While redo endovascular therapy has been immediately successful, recurrent stenosis remains a problem. The ideal management of ISR has not been determined. Three cases of symptomatic ISR that were successfully treated by standard carotid endarterectomy (CEA) with removal of the stent are reported herein. Current options for management of ISR are reviewed from the literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angioplasty / adverse effects*
  • Angioplasty / instrumentation*
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / surgery
  • Carotid Stenosis / therapy*
  • Device Removal
  • Endarterectomy, Carotid*
  • Female
  • Humans
  • Male
  • Recurrence
  • Severity of Illness Index
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex