Carotid angioplasty and stenting is gaining in popularity as an alternative to carotid endarterectomy for the treatment of symptomatic critical stenoses of the internal carotid artery. However, the durability of this technique and the incidence of recurrent stenoses has not yet been fully evaluated. It has been reported that mechanical factors may cause deformity of a Palmaz stent, negating the initial benefits of the procedure. We describe successful carotid endarterectomy after distortion of a Strecker balloon-expandable stent.
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