In Stent Re-Stenosis After Carotid Artery Stenting

A 62 year old man underwent endovascular right hemisphere thrombectomy for an ischaemic stroke. Right internal carotid stenting (Wallstent 7x40 mm, Boston Scientific, Malborough, MA, USA) was performed to access the occluded intracerebral arteries. At five month follow up, the patient had fully recovered but, despite daily best medical treatment, duplex ultrasound and additional computed tomography angiogram, showed a 90% in stent re-stenosis (A). Open surgery confirmed the severe in stent re-stenosis (B), so the entire artery and stent were removed and a carotid–carotid bypass using a 7 mm Gore-Tex stretch bypass (WL Gore, Flagstaff, AZ, USA) was performed. Six month follow up was uneventful.Image 1