Carotid endarterectomy remains a feasible bailout for progressive disease after transcarotid artery revascularization: A case report

IF 0.9 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-06 DOI:10.1016/j.jvscit.2025.102079

Aidin Baghbani MD, Blaz Podgorsek MD, Jason B. Storch MD, Gordon H. Martin MD, Naveed U. Saqib MD, Daniel G. Miles MD

引用次数: 0

Abstract

Carotid endarterectomy (CEA) remains the gold standard for carotid revascularization, though transcarotid artery revascularization (TCAR) has emerged as a less invasive alternative. We present a 67-year-old man with prior bilateral TCAR who developed severe right internal carotid artery restenosis 14 months after the procedure. Imaging confirmed >80% stenosis due to progressive plaque burden compressing the stent. The patient underwent successful CEA with en bloc stent explant using a standard technique. Recovery was uneventful. This case demonstrates the technical feasibility and safety of surgical stent explant after TCAR and reinforces CEA as a reliable salvage strategy when stent failure or disease progression occurs.

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颈动脉内膜切除术仍然是经颈动脉重建术后进行性疾病的可行救助：一个病例报告

颈动脉内膜切除术（CEA）仍然是颈动脉血运重建术的金标准，尽管经颈动脉血运重建术（TCAR）已成为一种侵入性较小的替代方法。我们报告了一位67岁的男性患者，他之前患有双侧TCAR，在手术后14个月发生了严重的右颈内动脉再狭窄。影像学证实80%的狭窄是由于斑块累进压迫支架所致。患者采用标准技术成功行CEA整块支架植入术。恢复过程平淡无奇。该病例证明了TCAR后手术支架植入术的技术可行性和安全性，并强化了CEA作为支架失效或疾病进展时可靠的挽救策略。

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.