Universität zu Köln

Ahmad, Wael, Deeb, Hiba, Otto, Christoph, Kalmykov, Egan L., Barkans, Arthurs, Kabbasch, Christoph, Sharkawy, Mohamed Ibrahim and Brunkwall, Jan Sigge (2020). Long-term outcomes of open and endovascular treatment of recurrent carotid artery stenosis - a 16-year retrospective single centre case series. Vasa, 49 (1). S. 23 - 30. BERN 9: VERLAG HANS HUBER HOGREFE AG. ISSN 0301-1526

Full text not available from this repository.

Abstract

Background: The aim of this study is to evaluate perioperative as well as long-term outcomes in patients operated with carotid endarterectomy (CEA) or stenting (CAS) due to symptomatic or asymptomatic high-grade restenosis of the internal carotid artery (ICA). Patients and methods: In a retrospective analysis of our electronic database including 2980 patients who underwent carotid erdarterectomy or stenting due to a symptomatic or asymptomatic high-grade stenosis of the ICA, between 2000 and 2016, we enrolled 111 patients with recurrent ICA stenosis. Results: An ipsilateral 2nd time restenosis (> 80 % in the asymptomatic and > 50 % in the symptomatic patients according to NASCET criteria) of ICA was detected in 13 patients (12 %); 3 of them were symptomatic. These patients were managed with either CEA (n = 5/38 %) or CAS (n = 8/62 %) with no perioperative stroke or death. The stroke-free survival rates at 2 and 8 years for CEA were 98 % and 98 % versus 100 % and 100 % for CAS respectively (P = .271). The type of the initial procedure (patch, CAS or interposition) did not play any significant role for the development of a 2nd time restenosis (P = .841). Conclusions: Redo-CEA/CAS seem to have similar results as primary procedures (as reported in the literature) with favorable periprocedural and long-term outcomes.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ahmad, Wael UNSPECIFIED UNSPECIFIED UNSPECIFIED Deeb, Hiba UNSPECIFIED UNSPECIFIED UNSPECIFIED Otto, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Kalmykov, Egan L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Barkans, Arthurs UNSPECIFIED UNSPECIFIED UNSPECIFIED Kabbasch, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Sharkawy, Mohamed Ibrahim UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan Sigge UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-352214
DOI:	10.1024/0301-1526/a000824
Journal or Publication Title:	Vasa
Volume:	49
Number:	1
Page Range:	S. 23 - 30
Date:	2020
Publisher:	VERLAG HANS HUBER HOGREFE AG
Place of Publication:	BERN 9
ISSN:	0301-1526
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IN-STENT RESTENOSIS; ENDARTERECTOMY; DISEASE; TRIAL; MANAGEMENT; SURGERY Multiple languages Peripheral Vascular Disease Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/35221