PMID: 11310284Apr 20, 2001Paper

Angioplasty and stenting in carotid stenosis. Therapeutic alternative or technical possibility?

Revista de neurologia
A Forteza, A Rabinstein

Abstract

Review the current knowledge on the use of angioplasty and stenting (A/S) for the treatment of carotid stenosis with emphasis on proposed indications. The standard treatment for carotid stenosis is carotid endarterectomy (CE). However, excessive surgical risk and/or technical difficulty occasionally impose limitations on the surgical approach. Therefore, the option of percutaneous treatment with A/S becomes an appealing alternative. A/S techniques are constantly improved but there is very little prospective data supporting its value at present. The reported complication rates appear comparable to those of CE. Indications for A/S of the carotid artery are not fully delineated yet. We believe that adequate candidates for carotid A/S must have symptomatic high-degree carotid stenosis and at least one of the following situations: unstable coronary disease, severe systemic disease, surgically inaccessible carotid lesion (including some cases of carotid stenosis secondary to neck radiation), contralateral carotid occlusion, or recurrent stenosis after prior CE. A/S represents a promising alternative to CE in the treatment of carotid stenosis. However, in the absence of prospective comparative trials, A/S should be currently reserved ...Continue Reading

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Related Papers

Perspectives in Vascular Surgery and Endovascular Therapy
Alan B Lumsden, Mark Davies
Journal of Vascular Surgery
William J Quinones-Baldrich
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
J WY Lau, C K Yeung
Stroke; a Journal of Cerebral Circulation
Jean-Louis MasEVA3S investigators
© 2021 Meta ULC. All rights reserved