title: Carotid artery stenting: an update.
abstract: In patients with carotid disease, the purpose of carotid artery revascularization is stroke prevention. For >50 years, carotid endarterectomy has been considered the standard treatment for severe asymptomatic and symptomatic carotid stenoses. Carotid artery stenting (CAS) has emerged in the last 15 years as minimally invasive alternative to surgery. However, the value of the endovascular approach in the management of carotid disease patients remains highly controversial. The aims of this review are to elucidate the current role of CAS, to describe the major technology advancements in the field, and to speculate about the future of this therapy.
authors.affiliation: Interventional Cardiovascular Unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Italy cremonesi.a@gmail.com acremonesi@gvmnet.it cremonesialberto@hotmail.com.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cremonesi
authors.affiliation: Interventional Cardiovascular Unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Italy.
authors.forename: Fausto
authors.initials: F
authors.lastname: Castriota
authors.affiliation: Maggiore Della Carità Hospital, University of Eastern Piedmont, Novara, Italy.
authors.forename: Gioel Gabrio
authors.initials: GG
authors.lastname: Secco
authors.affiliation: Department of Radiology, Freeman Hospital, Newcastle upon Tyne, UK.
authors.forename: Sumaira
authors.initials: S
authors.lastname: Macdonald
authors.affiliation: Division of Cardiology, University Hospital, Geneva, Switzerland.
authors.forename: Marco
authors.initials: M
authors.lastname: Roffi
mesh_terms: D020811:Biomedical Technology / Q000639:trends; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000295:instrumentation / Q000379:methods; D005544:Forecasting; D006801:Humans; D011474:Prosthesis Design; D016032:Randomized Controlled Trials as Topic; D015424:Reperfusion / Q000295:instrumentation / Q000379:methods; D015607:Stents; D020521:Stroke / Q000517:prevention & control
keywords: Carotid artery stenosis; Carotid artery stenting; Carotid endarterectomy; Emboli protection; Randomized controlled trials