Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 16, No. 2, 111-119 (2004)
DOI: 10.1177/153100350401600209
© 2004 SAGE Publications

Current Status of Carotid Angioplasty and Stenting

Heron E. Rodriguez, MD

Division of Vascular Surgery, Loyola University Stritch School of Medicine. Maywood, Illinois; 2160 S 1st Ave, Building 110-3218, Maywood, IL 60153; Hrodriguez{at}lumc.edu

Luis Leon, MD

Division of Vascular Surgery, Loyola University Stritch School of Medicine. Maywood, Illinois

Carotid endarterectomy is the gold-standard treatment for stroke risk reduction in selected patient populations with significant carotid stenosis. Despite the lack of definitive evidence, carotid artery stenting is rapidly emerging as the minimally invasive alternative to carotid endarterectomy. Carotid artery stenting is growing at a yearly rate of 20%. Among the physicians performing this procedure, vascular surgeons are the minority. We describe the evolution of the technique of carotid artery stenting, including the development of cerebral protection devices. The results of retrospective series of carotid artery stenting with protection devices are presented. A review of the ongoing registries and trials evaluating carotid artery stenting is provided. Current indications for carotid artery stenting and a proposed algorithm for the management of carotid stenosis are suggested..

Key Words: carotid stenosis • carotid endarterectomy • carotid artery stenting


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