[Endovascular management of carotid atherosclerosis. Section II: current therapeutic approaches and limitations].
Carotid endarterectomy has for long been regarded as the gold standard for the management of symptomatic atherosclerosis of the carotid bifurcation, and carotid angioplasty is merely considered a secondary alternative reserved to surgically high-risk patients. However, several studies have shown that the efficacy of carotid angioplasty has equaled that of carotid endarerectomy and additionally provides unshared advantages: local anesthesia is sufficient, the whole extracranial and intracranial carotid circulation are amenable to treatment and wound-related complications are not seen. Besides a thorough review of the main published studies comparing both techniques, we provide updated criteria for the endovascular management of carotid artery disease, discussing their benefits and limitations.
Santos-Franco
Jorge Arturo
JA
Servicio de Neurocirugía, Hospital de Especialidades, Centro Médico Nacional La Raza, México DF, México.
Zenteno-Castellanos
Marco Antonio
MA
Jaramillo-Magaña
José de Jesús
Jde J
Vega-Montesinos
Susana
S
Lee-Aguirre
Angel
A
D017073:Atherectomy; D002340:Carotid Artery Diseases / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans