Clinical impact and predictors of carotid artery in-stent restenosis

摘要: To assess the incidence and clinical significance as well predictors of in-stent restenosis (ISR) after carotid artery stenting (CAS) diagnosed with serial duplex sonography investigations. We analyzed 215 CAS procedures that had ultrasound The periprocedural long-term complications were recorded. influence an ISR on complication was using Kaplan-Meier curves risk factors for development multivariate logistic regression. During a median follow-up time 33.4 months (interquartile range 15.3–53.7) ≥70% detected in 12 (6.1%) arteries (mean age 68.1 ± 9.8 years, 71.6% male). combined stroke death rate during significantly higher group [odds ratio (OR): 3.59, 95% confidence interval (CI): 1.50–8.59, p = 0.004]. After applying regression analysis contralateral occlusion (OR 10.11, CI 2.06–49.63, p = 0.004), endarterectomy (CEA) 8.87, 1.68–46.84, p = 0.010) postprocedural PSV ≥120 cm/s 6.33, 1.27–31.44, p = 0.024) independent ISR. is associated proportion complications. A close suggested especially those patients aforementioned Against background lacking established treatment ISR, these findings should be taken into account when offering alternative to CEA.