Journal
EUROPEAN HEART JOURNAL
Volume 36, Issue 1, Pages 13-21Publisher
OXFORD UNIV PRESS
DOI: 10.1093/eurheartj/ehu446
Keywords
Carotid artery stenosis; Carotid artery stenting; Carotid endarterectomy; Randomized controlled trials; Emboli protection
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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.
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