AI Article Synopsis
- Cervical carotid stenosis leads to significant stroke risk and disability, with carotid endarterectomy being a traditional treatment option.
- Angioplasty and stenting have become a recognized alternative, especially for patients who are not ideal candidates for surgery.
- The article discusses how to select patients for either treatment based on clinical trial findings and specific patient characteristics.
Article Abstract
Cervical carotid stenosis is a major cause of stroke and disability. Although carotid endarterectomy is an established and effective treatment for some patients with carotid artery stenosis, angioplasty and stenting has emerged in recent years as a viable alternative, particularly for patients who may be less suited for surgery. This article reviews patient selection for the two alternative approaches. The authors review the findings of the major clinical trials of carotid endarterectomy, summarize the development of carotid angioplasty and stenting, and identify patient characteristics that may guide selection of surgical or endovascular treatment.
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| http://dx.doi.org/10.1111/j.1541-9215.2004.02600.x | DOI Listing |
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