Abstract |
Carotid endarterectomy has for long been regarded as the gold standard for the management of symptomatic atherosclerosis of the carotid bifurcation, and carotid angioplasty is merely considered a secondary alternative reserved to surgically high-risk patients. However, several studies have shown that the efficacy of carotid angioplasty has equaled that of carotid endarerectomy and additionally provides unshared advantages: local anesthesia is sufficient, the whole extracranial and intracranial carotid circulation are amenable to treatment and wound-related complications are not seen. Besides a thorough review of the main published studies comparing both techniques, we provide updated criteria for the endovascular management of carotid artery disease, discussing their benefits and limitations.
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Authors | Jorge Arturo Santos-Franco, Marco Antonio Zenteno-Castellanos, José de Jesús Jaramillo-Magaña, Susana Vega-Montesinos, Angel Lee-Aguirre |
Journal | Gaceta medica de Mexico
(Gac Med Mex)
2009 Sep-Oct
Vol. 145
Issue 5
Pg. 415-25
ISSN: 0016-3813 [Print] Mexico |
Vernacular Title | Manejo endovascular de la ateroesclerosis carotídea Parte II. Criterios terapéuticos actuales y limitaciones. |
PMID | 20073447
(Publication Type: English Abstract, Journal Article, Review)
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Topics |
- Atherectomy
- Carotid Artery Diseases
(surgery)
- Endarterectomy, Carotid
- Humans
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