Document Detail

Current management of extracranial carotid artery disease.
MedLine Citation:
PMID:  16703204     Owner:  NLM     Status:  MEDLINE    
Stroke is the third most common cause of death in the United States. There are approximately 700,000 strokes/year; 80% are ischemic, and 20-30% of ischemic strokes are secondary to carotid disease. Carotid stenosis is traditionally treated by carotid endarterectomy (CEA). Multicenter, randomized, controlled trials have shown that surgery significantly reduces the risk of ipsilateral stroke in patients with severe symptomatic and asymptomatic carotid stenosis. Endovascular techniques for treating carotid stenosis have been developed over recent years. Carotid angioplasty and stenting (CAS) with cerebral protection has become an alternative to CEA for high-surgical-risk patients and the procedure of choice for stenoses inaccessible by surgery. In this review we summarize the existing data regarding the traditional state of management of extracranial carotid artery stenosis and compare these data to a critical analysis of the recent results of CAS.
Peter L Faries; Rabih A Chaer; Sheela Patel; Stephanie C Lin; Brian DeRubertis; K Craig Kent
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  40     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-05-16     Completed Date:  2006-11-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-75     Citation Subset:  IM    
Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, New York, NY 10021, USA.
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MeSH Terms
Angioplasty / methods*
Carotid Stenosis / diagnosis,  surgery*
Endarterectomy, Carotid / methods*
Stroke / etiology,  prevention & control*

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