RECURRENT STENOSIS AFTER CAROTID ENDARTERECTOMY

Google Scholar
  • 1 January 1979
    • journal article
    • research article
    • Vol. 149  (3) , 360-364
Abstract
Of 1250 patients 13 required a 2nd operation for recurrent stenosis following carotid endarterectomy performed at the Cleveland Clinic from 1958-1978. Two other patients underwent reoperation because of recurrent stenosis following primary operations at other institutions. Of the 15 patients 13 had neurologic symptoms caused by recurrent stenosis, while 2 patients remained asymptomatic. Atherosclerosis caused recurrent stenosis in 12 patients and appeared to be related to hypercholesterolemia and 3 patients had myointimal fibroplasia. Of the 16 reoperations for recurrent stenosis of the carotid artery 11 consisted of carotid endarterectomy with vein patch angioplasty. Three patients had carotid endarterectomy with closure of the primary arteriotomy. One patient with occlusion of the internal carotid artery underwent endarterectomy of the external carotid artery because of amaurosis fugax, and a saphenous vein interposition graft was used to replace a previous Dacron graft in 1 patient with anastomotic stenosis. One patient had a stroke during reoperation manifest as multiple retinal emboli. Fourteen patients remained asymptomatic from 1-70 mo. following reoperation. One patient with occlusion of the contralateral internal carotid artery persistent vertebrobasilar symptoms.

This publication has 2 references indexed in Scilit: