The recurrence of transient ischemic attacks (TIA's) after carotid endarterectomy is an unusual occurrence. We recently studied a patient who had restenosis and recurrence of TIA's months to years after three different carotid endarterectomies, all done on the same carotid bifurcation. This unusual case represents an extreme example of the association between hyperlipidemia and an increased risk of restenosis after carotid endarterectomy.
Get full access to this article
View all access options for this article.
References
1.
Feldman RG, and Albrink MJ: Serum lipids and cerebrovascular disease. Arch Neurol10:105, 1964.
2.
Meyer JS, Waltz AG, Hess JW, et al: Serum lipid and cholesterol levels in cerebrovascular disease . Arch Neurol1:303, 1959.
3.
Pearce J., and Aziz H.: Uric acid and serum lipids in cerebrovascular disease. J Neurol Neurosurg Psychiatry33:88, 1967.
4.
Nefzger MD, Heyman A., LeBauer J., et al: Serum cholesterol levels in myocardial and cerebral infarction caused by atherosclerosis. J Chronic Dis20:593, 1967.
5.
Patterson JC , Armstrong R. and Armstrong EC: Serum lipid levels and the severity of coronary and cerebral atherosclerosis in adequately nourished men, 60 to 69 years of age. Circ 27:229, 1963.
6.
Jakobson T.: Glucose tolerance and serum lipid levels in patients with cerebrovascular disease. Acta Med Scand182:233, 1967.
7.
Moosy J., Bauer RB, Gletcher AP, et al: The laboratory evaluation of neurovascular disease (stroke) . Stroke3:505, 1972.
8.
Stanton PE, McCluskey DA and Lamis PA: Carotid endarterectomy. The American Surgeon78:670, 1978.
9.
Thompson JE, and Talkington CM: Carotid surgery for cerebral ischemia. Surg Clin North Am59:539, 1979.
10.
Hertzer NR, Martinez BD, Benjamin SP, et al: Recurrent stenosis after carotid endarterectomy. Surg Gynecol Obstet149:360, 1979.
11.
Stoney RJ, and String ST: Recurrent carotid stenosis. Surg80:705, 1976.
12.
Cossman D., Callow AD, Stein A., et al: Early restenosis after carotid endarterectomy. Arch Surg113:275, 1978.
13.
Kremen JE, Gee W., Kaupp HA, et al: Restenosis or occlusion after carotid endarterectomy, a survey with ocular pneumoplethysmography. Arch Surg114:608, 1979.
14.
Dinenberger RA, Sundt TM: Carotid endarterectomy, temporal profile of the healing process and effects of anticoagulation therapy. J Neurosurg48:201, 1978.
15.
Nelson E., Blaumanis OR, Forbes MS, et al: Atherosclerosis—morphologic aspects. In: Advances in Neurology. New York, Raven Press , 1977, p. 31.
16.
Depalma RG, Chidi CC, Sternfeld WC, et al:Pathogenesis and presentation of trauma-provoked atheromas . Surg82:429, 1977.
17.
Imparato AM, Riles TS, Gorstein F.: The carotid bifurcation plaque: pathologic findings associated with cerebral ischemia. Stroke10:238, 1979.
18.
Sejdinaj I., Powers RC, Khazei AH: Surgical pathology of extracranial occlusive disease. Angiology22:9, 1971.
19.
Imparato AM , Bracco A., Kim GE, et al: Intimal and neointimal fibrous proliferation causing failure of arterial reconstruction. Surg72:1007, 1972.
20.
Wolf PA, Dawber TR, Thomas HE, et al: Epidemiology of stroke. In: Advances in Neurology. New York, Raven Press, 1977, p. 5.
