Key result
Carotid angioplasty with stent placement has emerged as a potential safe and effective alternative to carotid endarterectomy, supported by current trials and combined experience in 262 patients.
Why the study?
Is carotid angioplasty with stent placement and cerebral protection devices a safe and effective alternative to carotid endarterectomy?
Is carotid angioplasty with stent placement and cerebral protection devices a safe and effective alternative to carotid endarterectomy?
This review discusses the emerging role of carotid angioplasty with stenting and cerebral protection devices as a potential alternative to carotid endarterectomy.
Hypothesis-generating for carotid stenting as CEA alternative; larger randomized trials needed before clinical adoption.
Carotid endarterectomy has been validated with results of several randomized controlled trials in which its effectiveness has been demonstrated over that of the best nonsurgical therapy. However, in the past several years, carotid angioplasty with stent placement has emerged as a potential safe and effective alternative to carotid endarterectomy. In this article we examine the current status of carotid angioplasty with the recent introduction of innovative cerebral protection devices and improved endovascular devices. We present a brief description of the current randomized trials evaluating carotid endarterectomy compared to carotid angioplasty as well as our combined experience in 262 patients.
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Cohen et al. (2003) conducted a review in Carotid artery disease (n=262). Carotid angioplasty with stent placement vs. Carotid endarterectomy was evaluated. Carotid angioplasty with stent placement has emerged as a potential safe and effective alternative to carotid endarterectomy, supported by current trials and combined experience in 262 patients.
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