Document Detail


Treatment of carotid artery disease: endarterectomy or angioplasty?
MedLine Citation:
PMID:  20960240     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of carotid stenosis has enjoyed renewed interest in the neurological community in recent years due to the advent of endovascular approaches. In concert, progress in medical treatment of these patients has rekindled the debate regarding the best management of carotid stenosis overall, both for symptomatic and asymptomatic disease. For symptomatic carotid stenosis, the major decision required is choosing the type of intervention best suited for individual patients: carotid endarterectomy versus carotid artery stenting. For patients with asymptomatic carotid stenosis, intensive medical management has evolved significantly over the past decade to decrease the risk of ischemic stroke to match surgical intervention under most circumstances. This review will examine the supporting evidence for each intervention, and discuss the recent advances in medical and endovascular therapy that provide the data for a new era in clinical decision making.
Authors:
Adrian Marchidann; Randolph S Marshall
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current neurology and neuroscience reports     Volume:  11     ISSN:  1534-6293     ISO Abbreviation:  Curr Neurol Neurosci Rep     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-04     Completed Date:  2011-04-11     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  100931790     Medline TA:  Curr Neurol Neurosci Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Affiliation:
Neurology Department, North Shore - LIJ Health System, 300 Community Drive, 9 Tower, Manhasset, NY 11030, USA. amarchidann@nshs.edu
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / methods*
Carotid Arteries / pathology,  surgery
Carotid Artery Diseases / complications,  surgery*
Carotid Stenosis / complications,  surgery*
Clinical Trials as Topic
Decision Making
Endarterectomy, Carotid / methods*
Humans
Stents
Stroke / etiology,  prevention & control
Treatment Outcome
Grant Support
ID/Acronym/Agency:
P50 NS049060-05/NS/NINDS NIH HHS
Comments/Corrections

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


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