Angioplastia y stenting de la estenosis carotídea. ¿Alternativa terapéutica o posibilidad técnica?

Translated title of the contribution: Angioplasty and stenting of carotid stenosis. Therapeutic alternative or technical possibility?

A. Forteza, A. Rabinstein

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Objective. Review the current knowledge on the use of angioplasty and stenting (A/S) for the treatment of carotid stenosis with emphasis on proposed indications. Development. The standard treatment for carotid stenosis is carotid endarterectomy (CE). However, excessive surgical risk and/or technical difficulty occasionally impose limitations on the surgical approach. Therefore, the option of percutaneous treatment with A/S becomes an appealing alternative. A/S techniques are constantly improved but there is very little prospective data supporting its value at present. The reported complication rates appear comparable to those of CE. Indications for A/S of the carotid artery are not fully delineated yet. We believe that adequate candidates for carotid A/S must have symptomatic high-degree carotid stenosis and at least one of the following situations: unstable coronary disease, severe systemic disease, surgically inaccessible carotid lesion (including some cases of carotid stenosis secondary to neck radiation), contralateral carotid occlusion, or recurrent stenosis after prior CE. Conclusions. A/S represents a promising alternative to CE in the treatment of carotid stenosis. However, in the absence of prospective comparative trials, A/S should be currently reserved exclusively for those patients in whom surgery is prohibited by very high surgical risk or technical inaccessibility. A/S of the carotid artery should only be performed by operators with ample expertise in the field.

Translated title of the contributionAngioplasty and stenting of carotid stenosis. Therapeutic alternative or technical possibility?
Original languageSpanish
Pages (from-to)270-275
Number of pages6
JournalRevista de Neurologia
Volume32
Issue number3
StatePublished - Feb 1 2001

Keywords

  • Angioplasty
  • Carotid endarterectomy
  • Carotid stenosis
  • Complications
  • Indications
  • Stenting
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint Dive into the research topics of 'Angioplasty and stenting of carotid stenosis. Therapeutic alternative or technical possibility?'. Together they form a unique fingerprint.

  • Cite this