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• 34th Annual Symposium
• 33rd Annual Symposium
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RE-DO CAROTID ARTERY OPEN INTERVENTION IS A SAFE OPTION FOR RECURRENT CAROTID DISEASE

OBJECTIVE
Re-do carotid artery open intervention (RCOI) for recurrent carotid artery disease is perceived as being associated with an increased local and systemic complication rate. In this report, we reviewed our current surgical outcomes following RCOI’s in order to show that RCOI’s have similar complication rates when compared with primary carotid artery open interventions (COI’s).
METHODS
The charts of all patients undergoing RCOI’s over the last 10-years were retrospectively reviewed. Preoperative data such as patient demographics, risk factors and time between the primary COI and RCOI were recorded and analyzed. The type of RCOI, the location and morphologic characteristics of the recurrent carotid lesions were also recorded and analyzed. The surgical outcomes we analyzed included local complications, systemic complications, and length of stay.
RESULTS
Of a total of 1324 consecutive COI’s, 192 (14.5%) were RCOI’s of which 188 (98%) were referrals, and 4 (2%) were from our primary COI population. In the RCOI group, the male/female ratio was 45%: 55% with an average age of 61-yrs (38 - 74 yrs). A higher percentage of patients were noted to smoke prior to RCOI (74%) compared with patients prior to primary COI (54%). The time from the primary COI to RCOI was on average 4.4-yrs (2-months to 29-yrs). RCOI’s consisted of either a re-endarterectomy with patch angioplasty (78.9%), an interposition vein graft (14%) or a patch angioplasty alone (6.8%). The majority of recurrent carotid lesions (49%) were located in multiple segments of the carotid vasculature. In our RCOI series, 25 (11.4%) patients had cranial nerve injuries and 2 (1%) patients developed re-recurrent carotid disease. There was 1 (0.5%) non-fatal MI and no reported strokes or deaths. The total length of stay was on average 28-hrs (1 - 21 days).
CONCLUSION
In our patient population, the complication rates following RCOI’s compared to primary COI’s are similar. Therefore, RCOI is a safe alternative in patients with recurrent carotid disease following a primary COI.