Abstract
Percutaneous transluminal stent-angioplasty of the carotid artery has indications that are similar but not identical to those for carotid surgery. Certain clinical conditions and morphologic findings, such as myocardial infarction, occlusion of the contralateral carotid artery, or tandem stenoses, favor use of the endoluminal technique. On the other hand, large clots at the site of stenosis, heavily calcified plaques, or elongated, kinked carotid arteries are better suited for carotid endarterectomy. Our experiences with angioplasty of more than 800 carotid stenoses and reports of other groups dealing with carotid angioplasty permit a preliminary evaluation of the method. The technical success rates, complication rates, and the few known long-term results are more or less equal to those of vascular surgery. Therefore further prospectively randomized studies are necessary to determine from which procedure the patient with his or her individual condition can gain the highest benefit.
Citations
May 18, 2011·Der Radiologe·D-A ClevertE M Jung
Dec 31, 2005·Zeitschrift für Kardiologie·R ZahnJ Senges
Apr 7, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·G PilzB Höfling
Mar 5, 2005·Zeitschrift für Kardiologie·R ZahnJ Senges
Mar 1, 2011·European Journal of Radiology·D A ClevertM Reiser
Dec 18, 2007·Annals of Vascular Surgery·Philip P Goodney, Richard J Powell
Jun 21, 2008·Seminars in Vascular Surgery·Rabih A Chaer, Michel S Makaroun
Jun 21, 2008·Seminars in Vascular Surgery·Daniel G Clair
Feb 27, 2009·IEEE Transactions on Medical Imaging·Empar Rollano-HijarrubiaWiro J Niessen
Jun 17, 2006·Academic Radiology·Empar Rollano-HijarrubiaWiro J Niessen
Aug 26, 2009·Journal of Vascular Surgery·Ali F AbuRahmaZachary AbuRahma
Mar 16, 2005·Journal of Vascular Surgery·Patrice BergeronJoël Gay
Oct 14, 2008·Journal of Vascular Surgery·Gianmarco de DonatoMarc Bosiers
Aug 3, 2010·Vascular and Endovascular Surgery·B SolomonT Maldonado
Jun 28, 2008·Vascular and Endovascular Surgery·Ali F AbuRahmaSarah K Flaherty
Sep 27, 2005·Journal of Clinical and Experimental Neuropsychology·J LehrnerW Lang
Jan 8, 2019·Acta Neurologica Scandinavica·Anthony LamannaHamed Asadi
Oct 1, 2005·Journal of Clinical Ultrasound : JCU·Stephen E FlemingJames Milburn
Nov 18, 2004·Journal of Interventional Cardiology·Kasja Rabe, Horst Sievert
Aug 30, 2021·Annals of Vascular Surgery·Deborah TobyDenise M D Özdemir-van Brunschot