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

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 transcaroti...

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Main Authors: Marianna Pavlyha, MD, Steven Farley, MD, Wesley S. Moore, MD
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000103
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author Marianna Pavlyha, MD
Steven Farley, MD
Wesley S. Moore, MD
author_facet Marianna Pavlyha, MD
Steven Farley, MD
Wesley S. Moore, MD
author_sort Marianna Pavlyha, MD
collection DOAJ
description 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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institution Kabale University
issn 2468-4287
language English
publishDate 2025-04-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-115fb452169a496d9435a34613af4c072025-02-09T05:00:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-01112101728Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversalMarianna Pavlyha, MD0Steven Farley, MD1Wesley S. Moore, MD2Division of Vascular and Endovascular Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CADivision of Vascular and Endovascular Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CACorrespondence: Wesley S. Moore, MD, Gonda Vascular Surgery, 200 Medical Plaza, Ste 526, Los Angeles, CA 90095; Division of Vascular and Endovascular Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, CACarotid 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.http://www.sciencedirect.com/science/article/pii/S2468428725000103Carotid restenosisTCARDrug-coated balloon angioplastyFlow reversal
spellingShingle Marianna Pavlyha, MD
Steven Farley, MD
Wesley S. Moore, MD
Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
Journal of Vascular Surgery Cases and Innovative Techniques
Carotid restenosis
TCAR
Drug-coated balloon angioplasty
Flow reversal
title Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
title_full Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
title_fullStr Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
title_full_unstemmed Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
title_short Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal
title_sort recurrent carotid artery stenosis successfully and safely treated with drug coated balloon angioplasty under flow reversal
topic Carotid restenosis
TCAR
Drug-coated balloon angioplasty
Flow reversal
url http://www.sciencedirect.com/science/article/pii/S2468428725000103
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AT stevenfarleymd recurrentcarotidarterystenosissuccessfullyandsafelytreatedwithdrugcoatedballoonangioplastyunderflowreversal
AT wesleysmooremd recurrentcarotidarterystenosissuccessfullyandsafelytreatedwithdrugcoatedballoonangioplastyunderflowreversal