”Restenosis

Read the summary of the 2020 Cochrane review for reference on re-stenosis rates and the relevant parts for full details:

Read the summary of the 2020 Cochrane review for reference on re-stenosis rates and the relevant parts for full details:

Although no RCTs have been performed, it is customary to manage symptomatic re-stenosis similar to symptomatic carotid stenosis patients, more information is available on page 68 of the 2023 ESVS guidelines on the management of Atherosclerotic Carotid and Vertebral Artery disease.

Read relevant guideline segment

Once a decision has been made to re-intervene, options include surgery (redo CEA, bypass) or CAS, neither tested in RCTs. The guideline therefore recommends that the choice of re-do endarterectomy or stenting be based on multidisciplinary team review, local surgeon and interventionist preference and patient choice.

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