Cervical carotid revascularization: the case for carotid angioplasty with stenting.
Carotid artery angioplasty with or without stent placement has evolved as an alternative to carotid endarterectomy, particularly for those patients in whom carotid endarterectomy is associated with a higher risk of complications. This article summarizes the selection criteria for participation in and the results of several carotid intervention trials, reviews the relative indications and limitations for both surgical and endovascular revascularization approaches, and describes the technique for and results associated with carotid stenting. The discussion is presented from the vantage of neurosurgeons who are experienced in both revascularization approaches.
Hanel
Ricardo A
RA
Department of Neurosurgery, School of Medicine and Biomedical Sciences, State University of New York, Buffalo 14209-1194, USA.
Levy
Elad I
EI
Hopkins
L Nelson
LN
D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D001807:Blood Vessel Prosthesis; D002340:Carotid Artery Diseases / Q000601:surgery*; D002548:Cerebral Revascularization / Q000295:instrumentation / Q000379:methods*; D002574:Cervical Vertebrae; D002986:Clinical Trials as Topic; D016894:Endarterectomy, Carotid / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D015607:Stents; D016896:Treatment Outcome