Carotid artery stenting versus carotid endarterectomy.
Stroke remains a significant contributor to morbidity and mortality in developed countries. Carotid artery stenosis is a major cause of stroke. Advances in medical therapy, surgical technique and endovascular maturation has resulted in options for the treatment of carotid stenosis. Here, we present a review of carotid artery stenting and carotid endarterectomy as it applies to trials comparing and contrasting the two treatment options. We also explore the intricacies surrounding reimbursement of these treatment strategies in the USA.
Department of Internal Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Michael G
MG
Nanna
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Paulina
P
Gomes
Section of Cardiovascular Medicine, Department of Internal Medicine, Cooper University Hospital-Cooper Medical School of Rowan University, Camden, New Jersey, USA.
Roland F
RF
Njoh
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Charisse
C
Ward
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Robert R
RR
Attaran
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Carlos
C
Mena
D058070:Asymptomatic Diseases; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D016894:Endarterectomy, Carotid; D057510:Endovascular Procedures; D006801:Humans; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*