View source for Management of Patients Experiencing Restenosis After Carotid Endarterectomy or Stenting

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{{Carotid artery stenosis}}
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==Management of Patients Experiencing Restenosis After Carotid Endarterectomy or Stenting==
===2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease (DO NOT EDIT)<ref name="pmid21282505">{{cite journal| author=Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL et al.| title=2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. | journal=Circulation | year= 2011 | volume= 124 | issue= 4 | pages= 489-532 | pmid=21282505 | doi=10.1161/CIR.0b013e31820d8d78 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21282505  }} </ref>===
====Restenosis After Carotid Endarterectomy or Stenting====
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|colspan="1" style="text-align:center; background:LightCoral"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (No Benefit)

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|bgcolor="LightCoral"|<nowiki>"</nowiki>'''1.''' Reoperative [[CEA]] or [[CAS]] should not be performed in asymptomatic patients with less than 70% carotid stenosis that has remained stable over time. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]

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|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' In patients with symptomatic cerebral ischemia and recurrent carotid stenosis due to intimal hyperplasia or [[atherosclerosis]], it is reasonable to repeat CEA or perform CAS using the same criteria as recommended for initial [[revascularization]]''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''2.''' Reoperative CEA or CAS after initial revascularization is reasonable when [[duplex ultrasound]] and another confirmatory imaging method identify rapidly progressive restenosis that indicates a threat of complete occlusion ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]

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|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' In asymptomatic patients who develop recurrent carotid stenosis due to intimal hyperplasia or atherosclerosis, reoperative CEA or CAS may be considered using the same criteria as recommended for initial revascularization. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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==References==

{{Reflist|2}}
[[Category:Neurology]]
[[Category:Cardiovascular diseases]]
[[Category:Cardiology]]
[[Category:Emergency medicine]]


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