Key result
Carotid angioplasty shows satisfactory 15-year procedural results despite neurologic concerns and limited controlled data.
Why the study?
The development of carotid angioplasty has been impeded by potential neurologic complications and a lack of controlled studies with long-term follow-up.
This review outlines the historical evolution, risks, benefits, and suggested criteria for carotid angioplasty.
Extends 15-year procedural experience; leaves open the need for randomized trials before guiding clinical adoption.
For 15 years, balloon angioplasty has been cautiously applied to carotid artery occlusive lesions. Procedural results have, by and large, been satisfactory, but the potential for significant neurologic complications and a dearth of controlled studies with long-term follow-up have impeded the development of carotid angioplasty until recently. This review of the literature chronicles the slow but steady evolutionary pace of carotid angioplasty from its beginnings in 1980 to today's shifting focus to the use of stents. Based on these existing reports and significant personal experience, the advantages and risks of endoluminal carotid interventions are enumerated, along with suggested criteria for the application of carotid angioplasty.
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Becquemin et al. (1996) conducted a review in Carotid artery occlusive lesions. Carotid angioplasty was evaluated. Carotid angioplasty for occlusive lesions has demonstrated satisfactory procedural results over 15 years, despite concerns regarding neurologic complications and a lack of controlled studies.
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