Endovascular Treatment of Carotid Artery Disease

Chapter

Abstract

Carotid artery disease is responsible for some 20% of all thromboembolic strokes. Among the modes of stroke prevention, carotid stent angioplasty represents the latest option available since the late 1970s as carotid artery angioplasty and since the early 1990s as carotid artery stenting. Although stenting and the older carotid artery endarterectomy available since the early 1950s are in a number of patients competitive treatment options, both means provide important advantages in individual patients presenting with specific adversities. For example, while large plaque burden, heavy calcification, and extreme tortuosity may favor surgery, in cases with excessive surgical risk, high proximal lesions and status postradiation of the neck stenting might be the preferable means of carotid revascularization. Due to the major advances in instrumentation and technology, the interventionists may choose from a variety of carotid artery stent designs and protection devices. The procedure is performed following the established institutional protocol implementing the current guidelines. Continuous monitoring of outcomes represents an important component of internal and external quality assurance. The endovascular approach is also used for treatment of carotid artery aneurysms of different pathogenesis. A new development is combined carotid angioplasty, stent placement, and thrombectomy in patients with acute stroke.

Keywords

Carotid Artery Internal Carotid Artery Guide Wire Carotid Endarterectomy Carotid Stenosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Radiologische KlinikKlinikum DortmundDortmundGermany

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