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

• 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
• DOI: 10.17116/jnevro202112111188
• ISSN: 1997-7298

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.