title: [Carotid stenosis: indications and therapeutic approach].
abstract: There has not been a peripheral vascular surgical procedure subject to as exquisite scruting as carotid endarterectomy. The last decade gave a new attitude after the analysis and conclusions of the North American Symptomatic Carotid Endarterectomy Symptomatic extracranial lesions were best managed with operative intervention rather than antiplatelet treatment alone. Now, in the first decade of the new millenium, we are embarking on yet another test of carotid endarterectmy--a comparison with percutaneous angioplasty and stenting, which is a most rigorous contest because endarterectomy must now withstand comparison with another "active treatment" rather than the more passive observational modality of antiplatelet therapy. The topic of the authors was to provide a panorama of the contemporay treatment of carotid disease at this pivotal point in the life cycle carotid endarterectomy.
authors.affiliation: Service de Chirurgie Vasculaire et de Transplantation d'Organes, Hôpital militaire Principal de Tunis.
authors.forename: T
authors.initials: T
authors.lastname: Sraieb
authors.forename: N B
authors.initials: NB
authors.lastname: Romdhane
authors.forename: A
authors.initials: A
authors.lastname: Chelbi
authors.forename: R
authors.initials: R
authors.lastname: Ben Soussia
authors.forename: N
authors.initials: N
authors.lastname: Akrout
authors.forename: I
authors.initials: I
authors.lastname: Khanfir
authors.forename: M
authors.initials: M
authors.lastname: Chemingui
authors.forename: J
authors.initials: J
authors.lastname: Manaa
mesh_terms: D017130:Angioplasty / Q000379:methods / Q000639:trends; D016893:Carotid Stenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D016894:Endarterectomy, Carotid / Q000379:methods / Q000639:trends; D019317:Evidence-Based Medicine; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000150:complications; D018810:Magnetic Resonance Angiography; D018579:Patient Selection; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D017410:Practice Guidelines as Topic; D015607:Stents / Q000639:trends; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D010975:Platelet Aggregation Inhibitors
vernacular_title: La stenose carotidienne: indications et conduite therapeutique.