Saphenous vein interposition graft for recurrent carotid stenosis after prior endarterectomy and stent placement - Case report

Although the use of carotid artery stents is increasing, the management of recurrent stenosis after their placement is undefined. The authors report o n a patient who underwent two left carotid endarterectomies followed by lef t carotid angioplasty and stent placement for recurrent stenosis. A third s ymptomatic recurrence was subsequently managed by placement of a saphenous vein interposition graft from the common carotid artery to the distal cervi cal internal carotid artery. The patient remained without hemispheric or re tinal ischemia at his 5-month follow-up visit. Interposition grafting shoul d be considered as a treatment option for carotid restenosis after initial endarterectomy and stent placement.