Faculty, Staff and Student Publications

Language

English

Publication Date

4-1-2026

Journal

Journal of Vascular Surgery Cases, Innovations and Techniques

DOI

10.1016/j.jvscit.2025.102079

PMID

41567131

PMCID

PMC12816790

PubMedCentral® Posted Date

12-6-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Carotid endarterectomy (CEA) remains the gold standard for carotid revascularization, though transcarotid artery revascularization (TCAR) has emerged as a less invasive alternative. We present a 67-year-old man with prior bilateral TCAR who developed severe right internal carotid artery restenosis 14 months after the procedure. Imaging confirmed >80% stenosis due to progressive plaque burden compressing the stent. The patient underwent successful CEA with en bloc stent explant using a standard technique. Recovery was uneventful. This case demonstrates the technical feasibility and safety of surgical stent explant after TCAR and reinforces CEA as a reliable salvage strategy when stent failure or disease progression occurs.

Keywords

Carotid endarterectomy, Transcarotid artery revascularization, Stent explant, Carotid revascularization

Published Open-Access

yes

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