Extracranial carotid and vertebral artery stenting
| Autor: | Sean C. Orr, Camilo R. Gomez |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Highly skilled
education.field_of_study medicine.medical_specialty business.industry Vertebral artery medicine.medical_treatment Population Carotid endarterectomy medicine.disease Surgery law.invention Randomized controlled trial law medicine.artery Angioplasty medicine In patient cardiovascular diseases Radiology Cardiology and Cardiovascular Medicine education business Stroke |
| Zdroj: | Seminars in Cerebrovascular Diseases and Stroke. 1:2-17 |
| ISSN: | 1528-9931 |
| DOI: | 10.1053/scds.2001.24077 |
| Popis: | The proof that carotid endarterectomy (CEA) is beneficial for the prevention of stroke in patients with atherosclerotic plaques of the carotid artery has been met with wide acceptance and liberal application in clinical practice. However, the procedure is most useful when performed by highly skilled surgeons in a low-risk population of patients. Thus, the search for alternative methods of treatment for patients whose situation involves less than optimal surgical circumstances has helped fuel the interest for carotid artery stenting (CAS). The latter, a technique that dates less than a decade, has quickly become a competitive procedure, one that is about to be tested in prospective randomized clinical trials. Clearly, for patients who are not surgical candidates, CAS may be the only available solution to their clinical condition. More importantly, atherosclerotic narrowing of the extracranial vertebral artery lends itself ideal for endovascular therapy, particularly because there is little evidence that surgical intervention is appropriate treatment for these patients. The present is a summary of the current technique and experience with stenting of the extracranial portions of the carotid and vertebral arteries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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