Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI:10.1016/j.jvscit.2025.101728

Marianna Pavlyha MD, Steven Farley MD, Wesley S. Moore MD

引用次数: 0

Abstract

Carotid artery restenosis after index carotid artery revascularization reduces its stroke prevention benefit. A 73-year-old woman presented with recurrent right carotid artery restenosis following two carotid endarterectomies with patch angioplasty and in-sent restenosis after subsequent transcarotid artery revascularization. We performed in-stent paclitaxel-coated balloon angioplasty under flow reversal with resolution of the lesion on imaging and improvement in symptoms. Patient remains asymptomatic with no evidence of restenosis 16 months after treatment.

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血流逆转下药物包被球囊血管成形术成功、安全地治疗复发性颈动脉狭窄

颈动脉重建术后颈动脉再狭窄降低了其预防卒中的效果。一位73岁的女性在两次颈动脉内膜切除术后出现复发性右颈动脉再狭窄，并在随后的经颈动脉血管重建术后再次出现再狭窄。我们在血流逆转的情况下进行了支架内紫杉醇包被球囊血管成形术，病变在影像学上得到了溶解，症状得到了改善。患者在治疗16个月后仍无症状，无再狭窄迹象。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.