title: [Endovascular management of carotid atherosclerosis. Section II: current therapeutic approaches and limitations].
abstract: 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.
authors.affiliation: Servicio de Neurocirugía, Hospital de Especialidades, Centro Médico Nacional La Raza, México DF, México.
authors.forename: Jorge Arturo
authors.initials: JA
authors.lastname: Santos-Franco
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Zenteno-Castellanos
authors.forename: José de Jesús
authors.initials: Jde J
authors.lastname: Jaramillo-Magaña
authors.forename: Susana
authors.initials: S
authors.lastname: Vega-Montesinos
authors.forename: Angel
authors.initials: A
authors.lastname: Lee-Aguirre
mesh_terms: D017073:Atherectomy; D002340:Carotid Artery Diseases / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans