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Vascular and Endovascular Surgery
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*Angioplasty
*Stroke
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Current Management of Extracranial Carotid Artery Disease

Peter L. Faries, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY, plf2001{at}med.cornell.edu

Rabih A. Chaer, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY

Sheela Patel, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY

Stephanie C. Lin, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY

Brian DeRubertis, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY

K. Craig Kent, MD

Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical College and Columbia University, College of Physicians and Surgeons, New York, NY

Stroke is the third most common cause of death in the United States. There are approximately 700,000 strokes/year; 80% are ischemic, and 20-30% of ischemic strokes are secondary to carotid disease. Carotid stenosis is traditionally treated by carotid endarterectomy (CEA). Multicenter, randomized, controlled trials have shown that surgery significantly reduces the risk of ipsilateral stroke in patients with severe symptomatic and asymptomatic carotid stenosis. Endovascular techniques for treating carotid stenosis have been developed over recent years. Carotid angioplasty and stenting (CAS) with cerebral protection has become an alternative to CEA for high-surgical-risk patients and the procedure of choice for stenoses inaccessible by surgery. In this review we summarize the existing data regarding the traditional state of management of extracranial carotid artery stenosis and compare these data to a critical analysis of the recent results of CAS.

References

Vascular and Endovascular Surgery, Vol. 40, No. 3, 165-175 (2006)
DOI: 10.1177/153857440604000301
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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Faries, P. L.
Right arrow Articles by Kent, K. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Faries, P. L.
Right arrow Articles by Kent, K. C.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Angioplasty
*Stroke
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

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