[Indications for revascularisation of a carotid stenosis].
TO PREVENT ISCHEMIC STROKE: Three types of measures should be taken: correction of the vascular risk factors, administration of antithrombotic agents and carotid revascularisation in patients selected on the basis of clinical and imaging criteria. CAROTID REVASCULARISATION MEASURES: The optimal indications are carotid surgery for severe symptomatic stenosis, while the benefits are marginal in severe asymptomatic stenosis and in moderate symptomatic stenosis. INDICATIONS FOR PERCUTANEOUS ANGIOPLASTY WITH PLACING OF AN ENDOPROSTHESIS: Angioplasty with endoprosthesis, a possible alternative to surgery, must be restricted to symptomatic stenosis either in randomised studies or in severe stenosis in patients in whom surgery is technically contraindicated.
Leys
Didier
D
Service de neurologie et pathologie neurovasculaire, CHU Hôpital Roger Salengro, Lille. dleys@chru-lille.fr
Mas
Jean-Louis
JL
D000800:Angioplasty, Balloon / Q000379:methods*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D012720:Severity of Illness Index; D015607:Stents
D005343:Fibrinolytic Agents