Document Detail


Contemporary management of carotid stenosis: carotid endarterectomy is here to stay.
MedLine Citation:
PMID:  17911549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thromboembolic complications from atherosclerotic disease of the carotid bifurcation are a common etiology of ischemic stroke, which has a significant morbidity and mortality. Carotid artery angioplasty and stenting (CAS) has been proposed as an alternative therapy for patients requiring treatment of carotid artery stenosis as opposed to the "gold standard" surgical intervention, carotid endarterectomy (CEA). Intense debate regarding these 2 therapeutic approaches has centered on their respective safety profiles. To date, despite multiple studies, no convincing evidence demonstrates the superiority or even equality of CAS to the proven safety, efficacy, and durability of CEA. This chapter reviews in detail the available evidence for CAS and CEA and provides a rationale that, given the available data, CEA remains the preferred therapy for the majority of patients who require treatment of carotid artery stenosis.
Authors:
Thomas A Abbruzzese; Richard P Cambria
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  19     ISSN:  1531-0035     ISO Abbreviation:  Perspect Vasc Surg Endovasc Ther     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-03     Completed Date:  2008-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-56     Citation Subset:  IM    
Affiliation:
Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA 02115, USA. tabbruzzese@partners.org
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon
Carotid Stenosis / surgery*,  therapy
Endarterectomy, Carotid*
Humans
Randomized Controlled Trials as Topic
Stents
Stroke / epidemiology
Treatment Outcome
Comments/Corrections
Comment In:
Perspect Vasc Surg Endovasc Ther. 2007 Sep;19(3):257-8   [PMID:  17911550 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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