Treatment of In-stent Restenosis of the Internal Carotid Artery Using Drug-eluting Balloons.
Carotid
Drug-eluring balloons
Intervention
Restenosis
Stent
Journal
Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693
Informations de publication
Date de publication:
07 Sep 2023
07 Sep 2023
Historique:
received:
04
04
2023
accepted:
30
07
2023
medline:
7
9
2023
pubmed:
7
9
2023
entrez:
7
9
2023
Statut:
aheadofprint
Résumé
In-stent restenosis (ISR) following internal carotid artery (ICA) stenting is relatively common with an estimated incidence of 5%. Treatment options include repeat angioplasty with conventional or drug-eluting balloons (DEB), repeat stent angioplasty and surgical intervention. Application of DEB in ISR of the coronary and peripheral arteries is an established method; however, data on DEB treatment of ICA ISR are sparse. In this work, results from a retrospective cohort of 45 patients harboring 46 ICA ISR lesions treated with DEB angioplasty are presented. Clinical, procedural and imaging data from DEB angioplasty treatment of 46 high-grade ICA ISR lesions in 45 patients, performed between 2013 and 2021 were collected. A single type of DEB (Elutax, Aachen Resonance, Aachen, Germany) was used in all procedures. Imaging follow-up was performed by regular Doppler ultrasound (DUS), verified by computed tomography angiography (CTA) in cases suspicious for a recurrent ISR. Technical success was 100%. Intraprocedural and postprocedural complications were not encountered. Clinical follow-up was obtained in all patients. Recurrent stroke in the affected territory was not encountered. A recurrent ISR following DEB treatment was confirmed by DUS and CTA in 4/46 (8.7%) of the lesions and were retreated with DEB. A third recurrent ISR occurred in a single case (2%) and following a second DEB retreatment there were no signs of a fourth recurrence after 36 months follow-up. The use of DEB angioplasty is a safe and effective treatment of ICA ISR lesions, yielding significantly better results compared to other modalities. Randomized multicenter studies are warranted.
Identifiants
pubmed: 37676281
doi: 10.1007/s00062-023-01343-6
pii: 10.1007/s00062-023-01343-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
Références
Nagy C, Héger J, Balogh G, Gubucz I, Nardai S, Lenzsér G, Bajzik G, Fehér M, Moizs M, Repa I, Nagy F, Vajda Z. Endovascular recanalization of tandem internal carotid occlusions using the balloon-assisted tracking technique. Clin Neuroradiol. 2022;32(2):375–84. https://doi.org/10.1007/s00062-021-01078-2 .
doi: 10.1007/s00062-021-01078-2
pubmed: 34546383
Bonati LH, Jansen O, de Borst GJ, Brown MM. Management of atherosclerotic extracranial carotid artery stenosis. Lancet Neurol. 2022;21(3):273–83. https://doi.org/10.1016/S1474-4422(21)00359-8 .
doi: 10.1016/S1474-4422(21)00359-8.
pubmed: 35182512
Rosenfield K, Matsumura JS, Chaturvedi S, Riles T, Ansel GM, Metzger DC, Wechsler L, Jaff MR, Gray W; ACT I Investigators. Randomized Trial of Stent versus Surgery for Asymptomatic Carotid Stenosis. N Engl J Med. 2016 Mar 17;374(11):1011–1020. https://doi.org/10.1056/NEJMoa1515706 .
Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF; CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010 Jul 1;363(1):11–23. https://doi.org/10.1056/NEJMoa0912321
Halliday A, Bulbulia R, Bonati LH, Chester J, Cradduck-Bamford A, Peto R, Pan H; ACST-2 Collaborative Group. Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy. Lancet. 2021 Sep 18;398(10305):1065–1073. https://doi.org/10.1016/S0140-6736(21)01910-3 .
Meschia JF, Brott TG. Lessons from ACST‑2. Stroke. 2022;53(4):e145–e9. https://doi.org/10.1161/STROKEAHA.121.037269 .
doi: 10.1161/STROKEAHA.121.037269
pubmed: 35227079
pmcid: 8960366
Buccheri D, Piraino D, Andolina G, Cortese B. Understanding and managing in-stent restenosis: a review of clinical data, from pathogenesis to treatment. J Thorac Dis. 2016;8(10):E1150–E62. https://doi.org/10.21037/jtd.2016.10.93 .
doi: 10.21037/jtd.2016.10.93
pubmed: 27867580
pmcid: 5107494
CAVATAS investigators. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. Lancet. 2001 Jun 2;357(9270):1729–1737.
International Carotid Stenting Study investigators; Ederle J, Dobson J, Featherstone RL, Bonati LH, van der Worp HB, de Borst GJ, Lo TH, Gaines P, Dorman PJ, Macdonald S, Lyrer PA, Hendriks JM, McCollum C, Nederkoorn PJ, Brown MM. Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet. 2010 Mar 20;375(9719):985–997. https://doi.org/10.1016/S0140-6736(10)60239-5 .
Huang H, Wu L, Guo Y, Zhang Y, Zhao J, Yu Z, Luo X. Treatment of the carotid in-stent restenosis: a systematic review. Front Neurol. 2021;4(12):748304. https://doi.org/10.3389/fneur.2021.748304 .
doi: 10.3389/fneur.2021.748304
Scheller B, Clever YP, Kelsch B, Hehrlein C, Bocksch W, Rutsch W, Haghi D, Dietz U, Speck U, Böhm M, Cremers B. Long-term follow-up after treatment of coronary in-stent restenosis with a paclitaxel-coated balloon catheter. JACC Cardiovasc Interv. 2012;5(3):323–30. https://doi.org/10.1016/j.jcin.2012.01.008 .
doi: 10.1016/j.jcin.2012.01.008
pubmed: 22440499
Gerardi D, Alfani A, Tesorio T, Cioppa A, Esposito G, Stabile E. Drug-coated balloon in superficial femoral artery in-stent restenosis. Postepy Kardiol Interwencyjnej. 2018;14(1):9–14. https://doi.org/10.5114/aic.2018.74350 .
doi: 10.5114/aic.2018.74350
pubmed: 29743899
pmcid: 5939540
Vajda Z, Güthe T, Perez MA, Heuschmid A, Schmid E, Bäzner H, Henkes H. Neurovascular in-stent stenoses: treatment with conventional and drug-eluting balloons. AJNR Am J Neuroradiol. 2011;32(10):1942–7. https://doi.org/10.3174/ajnr.A2644 .
doi: 10.3174/ajnr.A2644
pubmed: 21885715
pmcid: 7966004
Bhatia K, Akhtar IN, Akinci Y, Liaqat J, Siddiq F, Gomez CR, Qureshi AI. Drug-eluting balloon angioplasty for in-atent restenosis following carotid artery stent placement. J Neuroimaging. 2020;30(3):267–75. https://doi.org/10.1111/jon.12706 .
doi: 10.1111/jon.12706
pubmed: 32227677
Armstrong PA, Bandyk DF, Johnson BL, Shames ML, Zwiebel BR, Back MR. Duplex scan surveillance after carotid angioplasty and stenting: a rational definition of stent stenosis. J Vasc Surg. 2007;46(3):460–5. https://doi.org/10.1016/j.jvs.2007.04.073 . discussion 465–6.
doi: 10.1016/j.jvs.2007.04.073
pubmed: 17681713
Schäberle W. Sonographic grading of recurrent stenosis after carotid stenting and stented peripheral arteries. Gefässchirurgie. 2019;24(Suppl 1):40–51. https://doi.org/10.1007/s00772-018-0496-3 .
doi: 10.1007/s00772-018-0496-3
European Carotid Surgery Trialists’ Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998;351(9113):1379–87.
doi: 10.1016/S0140-6736(97)09292-1
Kammler J, Blessberger H, Lambert T, Kellermair J, Grund M, Nahler A, Lichtenauer M, Schwarz S, Reiter C, Steinwender C, Kypta A. In-stent restenosis after interventional treatment of carotid artery stenoses: a long-term follow-up of a single center cohort. Clin Res Cardiol. 2017;106(7):493–500. https://doi.org/10.1007/s00392-017-1078-1 .
doi: 10.1007/s00392-017-1078-1
pubmed: 28180940
Chen JH, Wu MH, Luo CB, Lirng JF, Chen ST, Wu CH, Guo WY, Chang FC. Long-term imaging follow-up to evaluate restenosis in patients with carotid stenosis after angioplasty and stenting. J Chin Med Assoc. 2021;84(1):87–94. https://doi.org/10.1097/JCMA.0000000000000405 .
doi: 10.1097/JCMA.0000000000000405
pubmed: 32773586
Clavel P, Hebert S, Saleme S, Mounayer C, Rouchaud A, Marin B. Cumulative incidence of restenosis in the endovascular treatment of extracranial carotid artery stenosis: a meta-analysis. J Neurointerv Surg. 2019;11(9):916–23. https://doi.org/10.1136/neurintsurg-2018-014534 .
doi: 10.1136/neurintsurg-2018-014534
pubmed: 30705056
Stilo F, Montelione N, Calandrelli R, Distefano M, Spinelli F, Di Lazzaro V, Pilato F. The management of carotid restenosis: a comprehensive review. Ann Transl Med. 2020;8(19):1272. https://doi.org/10.21037/atm-20-963 .
doi: 10.21037/atm-20-963
pubmed: 33178804
pmcid: 7607074
Mihály Z, Vértes M, Entz L, Dósa E. Treatment and predictors of recurrent internal carotid artery in-stent restenosis. Vasc Endovasc Surg. 2021;55(4):374–81. https://doi.org/10.1177/1538574421993716 .
doi: 10.1177/1538574421993716
Joner M, Byrne RA, Lapointe JM, Radke PW, Bayer G, Steigerwald K, Wittchow E. Comparative assessment of drug-eluting balloons in an advanced porcine model of coronary restenosis. Thromb Haemost. 2011;105(5):864–72. https://doi.org/10.1160/TH10-11-0698 .
doi: 10.1160/TH10-11-0698
pubmed: 21301785
Kastrati A, Schömig A, Dietz R, Neumann FJ, Richardt G. Time course of restenosis during the first year after emergency coronary stenting. Circulation. 1993;87(5):1498–505. https://doi.org/10.1161/01.cir.87.5.1498 .
doi: 10.1161/01.cir.87.5.1498
pubmed: 8491004
Bonati LH, Gregson J, Dobson J, McCabe DJH, Nederkoorn PJ, van der Worp HB, de Borst GJ, Richards T, Cleveland T, Müller MD, Wolff T, Engelter ST, Lyrer PA, Brown MM. Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial. Lancet Neurol. 2018;17(7):587–96. https://doi.org/10.1016/S1474-4422(18)30195-9 .
doi: 10.1016/S1474-4422(18)30195-9
pubmed: 29861139
pmcid: 6004555