title: Carotid Disease Management: Surgery, Stenting, or Medication.
abstract: Internal carotid artery stenosis accounts for about 7-10 % of ischemic strokes. Conventional risk factors such as aging, hypertension, diabetes mellitus, and smoking increase the risk for carotid atherosclerosis. All patients with carotid stenosis should receive aggressive medical therapy. Carotid revascularization with either endarterectomy or stenting can benefit select patients with severe stenosis. New clinical trials will examine the contemporary role of carotid revascularization relative to optimal medical therapy.
authors.affiliation: Department of Neurology and Stroke Program, University of Miami Miller School of Medicine, 1120 NW 14th St., Room 1363, Miami, FL, 33136, USA.
authors.forename: Priyank
authors.initials: P
authors.lastname: Khandelwal
authors.forename: Seemant
authors.initials: S
authors.lastname: Chaturvedi
mesh_terms: D017130:Angioplasty / Q000379:methods*; D016893:Carotid Stenosis / Q000150:complications / Q000628:therapy*; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*