Pokrovskiĭ A V, Kuntsevich G I, Beloiartsev D F, Burtseva E A, Fedorov E E
Department of Vascular Surgery, A V Vishnevsky Institute of Surgery, Moscow, Russia.
Angiol Sosud Khir. 2007;13(4):115-25.
The paper analyzes outcomes of 12 internal carotid artery (ICA) graftings for repeat stenosis after carotid endarterectomy (CEA) in 11 patients. In 6 cases restenosis occurred after eversion CEA, in 5 - after conventional patch CEA, and in 1 case - after ICA patch angioplasty for post-CEA restenosis. Critical restenosis >75% in reconstruction area was an indication for surgical intervention. There was 1 case of graft thrombosis in early postoperative period with hemispherical stroke and lethal outcome. Eight patients were examined in late postoperative period. Mean follow-up was 34?+/-?8.44 months (from 16 to 48 months). No cerebrovascular disturbances in operated ICA feeding area were detected. In 6 patients graft patency was good, while 2 smoking patients with diabetes mellitus and hyperlipidemia demonstrated repeat restenosis of proximal anastomosis >70%.
本文分析了11例患者行12次颈内动脉（ICA）移植治疗颈动脉内膜切除术（CEA）后再狭窄的结果。6例患者在外翻式CEA后发生再狭窄，5例在传统补片CEA后发生再狭窄，1例在ICA补片血管成形术治疗CEA后再狭窄后发生再狭窄。重建区域临界再狭窄>75%是手术干预的指征。术后早期有1例移植血管血栓形成，导致半球性卒中并死亡。8例患者在术后晚期接受检查。平均随访时间为34±8.44个月（16至48个月）。未检测到手术侧ICA供血区域有脑血管紊乱。6例患者移植血管通畅良好，而2例患有糖尿病和高脂血症的吸烟患者近端吻合口再次发生>70%的再狭窄。
