Treatment of Symptomatic Carotid Stenosis: Carotid Stent Placement Versus Endarterectomy

被引:4
|
作者
Alqadri, Syeda L. [1 ]
Qureshi, Adnan I. [2 ,3 ]
机构
[1] Univ Mississippi, Med Ctr, Dept Neurol, Jackson, MS 39202 USA
[2] Univ Minnesota, Zeenat Qureshi Stroke Res Ctr, Minneapolis, MN USA
[3] Univ Minnesota, Dept Neurol, Minneapolis, MN 55455 USA
关键词
Carotid endarterectomy; Carotid artery stenosis; Carotid angioplasty; Carotid stent placement; Ischemic stroke; Atherosclerosis; STROKE; ANGIOPLASTY; REVASCULARIZATION; PREVENTION;
D O I
10.1007/s11883-013-0345-5
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The mainstay of treatment options for symptomatic carotid stenosis is focused around medical management, carotid endarterectomy, and carotid angioplasty and stent placement. The International Carotid Stenting Study (ICSS), also called Carotid and Vertebral Artery Transluminal Angioplasty Study 2 (CAVATAS 2), the Stent-Supported Percutaneous Angioplasty of the Carotid Artery Versus Endarterectomy (SPACE) trial, the Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial, the Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy (SAPPHIRE) trial, and the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) were five major trials which compared carotid endarterectomy and carotid angioplasty and stent placement. We review the results of the trials and incorporation of the results into clinical decision making.
引用
收藏
页数:6
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