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Percutaneous Management of Carotid and Vertebral Artery Disease

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Textbook of Cardiovascular Intervention

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Abstract

CAS in suitable patients with the use of an EPD is a well-validated alternative to surgical revascularization for stroke prevention in patients with carotid artery stenosis. For optimal outcomes, all patients undergoing CAS need to be carefully selected, based on readily available clinical and angiographic features. Proximal embolic protection offers a strategy that will likely dramatically improve the safety of CAS. Patients who have symptomatic vertebral artery stenosis and have failed medical therapy should be considered candidates for percutaneous intervention in experienced hands. Larger trials of patients with vertebral artery stenosis are needed, both to further understand the natural history of the disease and to validate currently available treatment options.

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Authors and Affiliations

  1. John Ochsner Heart and Vascular Institute, Department of Cardiovascular Diseases, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA, 70121, USA

    Zehra Jaffery MD

  2. Department of Cardiovascular Diseases, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA, 70121, USA

    Christopher J. White MD

Authors
  1. Zehra Jaffery MD
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  2. Christopher J. White MD
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Correspondence to Christopher J. White MD .

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Editors and Affiliations

  1. Department of Medicine, Cardiology Section, Director, Cardiovascular Catheterization and Intervention, Yale New Haven Hospital, Director, Invasive Cardiology and Vascular Medicine,, New Haven, Connecticut, USA

    Craig A. Thompson

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© 2014 Springer-Verlag London

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Jaffery, Z., White, C.J. (2014). Percutaneous Management of Carotid and Vertebral Artery Disease. In: Thompson, C. (eds) Textbook of Cardiovascular Intervention. Springer, London. https://doi.org/10.1007/978-1-4471-4528-8_35

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  • DOI: https://doi.org/10.1007/978-1-4471-4528-8_35

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