Abstract
Atherosclerotic disease of the carotid artery is a major contributor to morbidity and mortality, accounting for 10–15% of patients diagnosed with stroke. Surgical intervention of carotid artery disease with carotid endarterectomy (CEA) has been well studied and shown to reduce the risk of future ischemic stroke in patients with severe symptomatic carotid artery disease or in patients where maximal medical therapy has failed. However, the role of carotid artery stenting (CAS) has not been as clear despite being a proposed treatment option for carotid artery disease since the 1990s. A significant contribution to the lack of clarity is partly due to the large number of clinical trials that have either confirmed or refuted the use of CAS to treat patients with carotid artery stenosis. The goal of this chapter is to provide the reader an overview of the clinical trials that have led to our current conclusions about stenting or endarterectomy in patients with carotid artery stenosis.
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Fessler, R.D., Thomas, J.G. (2018). Current Status of Carotid Endarterectomy and Carotid Stenting. In: Hans, S. (eds) Extracranial Carotid and Vertebral Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-91533-3_15
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DOI: https://doi.org/10.1007/978-3-319-91533-3_15
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