Interventions for Extracranial Carotid Artery Stenosis: An Update

被引:1
|
作者
Huang J.F. [1 ]
Meschia J.F. [1 ]
机构
[1] The Department of Neurology (JFH, JFM), Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, 32224, FL
关键词
Carotid angioplasty and stenting; Carotid endarterectomy; Carotid stenosis; Stroke prevention;
D O I
10.1007/s11936-016-0455-9
中图分类号
学科分类号
摘要
Clinical trials demonstrate that stroke risk after the periprocedural period is similar for carotid angioplasty and stenting (CAS) and carotid endarterectomy (CEA), making CAS an acceptable alternative to CEA. However, there tends to be a higher procedural risk of stroke for CAS than for CEA and a potentially higher rate of myocardial infarction in patients undergoing CEA as compared to CAS. Furthermore, lower rates of complications with revascularization and of post-revascularization stroke have been attributed to advances in medical management, improved surgical technique, and new devices. We discuss identifying patients who may have higher complication rates and recent clinical studies and medical advances directed at reducing stroke risk in patients with extracranial carotid stenosis. © 2016, Springer Science+Business Media New York.
引用
收藏
相关论文
共 50 条
  • [31] Recent concepts in the management of extracranial carotid stenosis: Carotid endarterectomy versus carotid artery stenting
    Pandian, Jeyaraj D.
    NEUROLOGY INDIA, 2011, 59 (03) : 376 - 382
  • [32] Extracranial carotid stenosis - Reply
    Sacco, RL
    NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (20): : 1591 - 1591
  • [33] Diagnosis of extracranial carotid stenosis
    Hamann, GF
    DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1998, 123 (37) : 1075 - 1080
  • [34] Treatment of extracranial carotid stenosis
    Hamann, GF
    DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1998, 123 (38) : 1109 - 1115
  • [35] Cognitive functions after surgery and stenting for extracranial stenosis of the carotid artery
    Jansen, C.
    Ringleb, P.
    Boeckler, D.
    Hartmann, M.
    Hacke, W.
    NERVENARZT, 2008, 79 (12): : 1424 - +
  • [36] RISK PROFILE OF SYMPTOMATIC AND ASYMPTOMATIC PATIENTS WITH EXTRACRANIAL CAROTID ARTERY STENOSIS
    Nikolov, N.
    Lukanova, D.
    Georgiev, B.
    Stoianova, B.
    Stankev, M.
    JOURNAL OF HYPERTENSION, 2017, 35 : E273 - E273
  • [37] RESULTS OF SURGICAL MANAGEMENT OF EXTRACRANIAL INTERNAL CAROTID ARTERY OCCLUSION AND STENOSIS
    LOUGHEED, WM
    ELGIE, RG
    BARNETT, HJM
    CANADIAN MEDICAL ASSOCIATION JOURNAL, 1966, 95 (25) : 1279 - &
  • [38] QUANTITATIVE DOPPLER SPECTRUM ANALYSIS OF EXTRACRANIAL CAROTID-ARTERY STENOSIS
    PERRY, MO
    SILANE, MF
    CALCAGNO, D
    SPRADLIN, S
    NEW YORK STATE JOURNAL OF MEDICINE, 1985, 85 (10) : 577 - 580
  • [39] Structure and Quality of Care Recommendations for Treatment of Extracranial Carotid Artery Stenosis
    Storck, Martin
    AKTUELLE KARDIOLOGIE, 2022, 11 (02) : 142 - 146
  • [40] Acceleration time ratio for the assessment of extracranial internal carotid artery stenosis
    Hidehiro Takekawa
    Keisuke Suzuki
    Etsuo Takada
    Hideaki Tanaka
    Ryuta Okabe
    Masanari Yamamoto
    Yuko Ishii
    Madoka Okamura
    Koichi Hirata
    Journal of Medical Ultrasonics, 2014, 41 : 63 - 67