Carotid endarterectomy with stent removal in a patient with early bilateral restenosis of the internal carotid arteries in the acute period of recurrent ischemic stroke

Carotid endarterectomy with stent removal in a patient with early bilateral restenosis of the internal carotid arteries in the acute period of recurrent ischemic stroke

We present a rare clinical observation of a patient with an early reoperation performed up to 2 weeks after a recurrent stroke. Carotid endarterectomy with removal of previously installed stents for critical stenoses of the internal carotid arteries after the first stroke was performed. Early bilate...

Full description

Saved in:
Bibliographic Details
Published in:Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Vol. 121; no. 11; p. 88
Main Authors: Dudanov, I P, Ordinec, S V, Zelenin, V V, Kudrijavcev, O I, Vryganov, F A
Format: Journal Article
Language:English
Russian
Published: Russia (Federation) 2021
Subjects:
Brain Ischemia - complications
Brain Ischemia - surgery
Carotid Arteries
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Carotid Stenosis - complications
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
Constriction, Pathologic
Endarterectomy, Carotid
Humans
Ischemic Stroke
Recurrence
Retrospective Studies
Stents
Stroke - etiology
Treatment Outcome
acute period
stent removal
restenosis
carotid endarterectomy
ischemic stroke
stenting
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We present a rare clinical observation of a patient with an early reoperation performed up to 2 weeks after a recurrent stroke. Carotid endarterectomy with removal of previously installed stents for critical stenoses of the internal carotid arteries after the first stroke was performed. Early bilateral restenosis up to 80-90% of the lumen in the stents of both internal carotid arteries was observed 6 months after stenting. Open interventions were performed in the acute period of recurrent ischemic stroke in two stages with a favorable outcome. No data on the increase of neurological symptoms were obtained for 2 years of observation. Treatment and application of early rehabilitation methods, improved the patient's general condition, strength in the left extremities increased up to 4.5 points, left-sided hemihypesthesia decreased, speech disorders regressed. The patient walks and serves himself independently.
ISSN:1997-7298
DOI:10.17116/jnevro202112111188