[Endovascular management of carotid atherosclerosis. Section II: current therapeutic approaches and limitations].

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.

• 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)

Topics

• Atherectomy
• Carotid Artery Diseases (surgery)
• Endarterectomy, Carotid
• Humans