[Carotid angioplasty: review of the literature].
OBJECTIVE
In order to assess the current knowledge of carotid angioplasty and stenting, we reviewed the pertinent literature distinguishing two types of reports on angioplasty for atherosclerotic stenosis of the internal carotid artery: case reports and series with less than 10 cases, and series reporting more than 10 cases.


METHODS
Each series was examined individually followed by a general analysis.


RESULTS
The 11 largest series in the literature included a total of 912 patients. The rate of transient ischemic attacks ranged from 6 to 14.8%. Stroke rate varied from 1.5 to 9.1%. Restenosis was reported in 4 to 16% of cases.


CONCLUSIONS
Based on the data available in the literature, we cannot recommend carotid angioplasty. Carotid endarterectomy is recognised as safe and is generally considered to be the gold standard. In order to assess carotid angioplasty and stenting accurately, prospective randomized studies comparing surgery and angioplasty are necessary.
Hassen-Khodja
R
R
Service de Chirurgie Vasculaire, Hôpital Saint Roch, Centre Hospitalier Universitaire, Nice.
Sala
F
F
Declemy
S
S
Pittaluga
P
P
Batt
M
M
D017130:Angioplasty; D001161:Arteriosclerosis / Q000150:complications; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000209:etiology / Q000628:therapy*; D002986:Clinical Trials as Topic; D006801:Humans; D015337:Multicenter Studies as Topic; D018579:Patient Selection; D015607:Stents
Angioplastie carotidienne: données de la littérature.