title: Stroke prevention-surgical and interventional approaches to carotid stenosis.
abstract: Extracranial carotidartery stenosis is an important cause of stroke that often needs treatment with carotid revascularization. To prevent stroke recurrence, carotid endarterectomy has been well-established for many years in treating symptomatic high- and moderate-grade stenosis. Carotid stenting is an appealing, less invasive alternative to carotid endarterectomy, and several recent trials have compared the efficacy of the 2 procedures in patients with carotid stenosis. Carotid artery stenting has emerged as an important mode of therapy for high-risk patients with symtomatic high-grade stenosis. This review focuses on the current data available that will enable the clinician to decide optimal treatment strategies for patients with carotid stenosis.
authors.affiliation: Comprehensive Stroke Program, Department of Neurology, Wayne State University School of Medicine, 8C-UHC, 4201 St. Antoine, Detroit, MI 48201, USA. krajaman@med.wayne.edu
authors.forename: Kumar
authors.initials: K
authors.lastname: Rajamani
authors.forename: Seemant
authors.initials: S
authors.lastname: Chaturvedi
mesh_terms: D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D012737:Sex Factors; D020521:Stroke / Q000209:etiology* / Q000517:prevention & control*