Current Neurology and Neuroscience Reports

, Volume 11, Issue 1, pp 61–66

Treatment of Carotid Artery Disease: Endarterectomy or Angioplasty?

Article

DOI: 10.1007/s11910-010-0153-z

Cite this article as:
Marchidann, A. & Marshall, R.S. Curr Neurol Neurosci Rep (2011) 11: 61. doi:10.1007/s11910-010-0153-z
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Abstract

The management of carotid stenosis has enjoyed renewed interest in the neurological community in recent years due to the advent of endovascular approaches. In concert, progress in medical treatment of these patients has rekindled the debate regarding the best management of carotid stenosis overall, both for symptomatic and asymptomatic disease. For symptomatic carotid stenosis, the major decision required is choosing the type of intervention best suited for individual patients: carotid endarterectomy versus carotid artery stenting. For patients with asymptomatic carotid stenosis, intensive medical management has evolved significantly over the past decade to decrease the risk of ischemic stroke to match surgical intervention under most circumstances. This review will examine the supporting evidence for each intervention, and discuss the recent advances in medical and endovascular therapy that provide the data for a new era in clinical decision making.

Keywords

Treatment Endarterectomy Carotid stenosis Carotid artery stent Angioplasty 

Clinical Trial Acronyms

ACAS

Asymptomatic Carotid Atherosclerosis Study

ACST

Asymptomatic Carotid Surgery Trial

CAVATAS

Carotid and Vertebral Artery Transluminal Angioplasty Study

COSS

Carotid Occlusion Surgery Study

CREST

Carotid Revascularization Endarterectomy Versus Stenting Trial

ECST

European Carotid Surgery Trial

EVA-3S

Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis

ICSS

International Carotid Stenting Study

NASCET

North American Symptomatic Carotid Endarterectomy Trial

SAPPHIRE

Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy

SPACE

Stent Protected-Angioplasty Versus Carotid Endarterectomy

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of NeurologyColumbia University Medical CenterNew YorkUSA
  2. 2.Neurology DepartmentNorth Shore – LIJ Health SystemManhassetUSA

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