Endovascular treatment of carotid stenosis

Jorge L Eller; Kenneth V Snyder; Adnan H Siddiqui; Elad I Levy; L Nelson Hopkins

doi:10.1016/j.nec.2014.04.012

Endovascular treatment of carotid stenosis

Neurosurg Clin N Am. 2014 Jul;25(3):565-82. doi: 10.1016/j.nec.2014.04.012. Epub 2014 Jun 2.

Authors

Jorge L Eller¹, Kenneth V Snyder², Adnan H Siddiqui³, Elad I Levy⁴, L Nelson Hopkins⁵

Affiliations

¹ Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA; Cerebrovascular Neurosurgery, PeaceHealth Sacred Heart Medical Center, 333 Riverbend Drive, Springfield, OR 97477, USA.
² Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA; Department of Neurology, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Radiology, University at Buffalo, State University of New York, Buffalo, NY, USA; School of Medicine and Biomedical Sciences, Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA.
³ Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA; Department of Radiology, University at Buffalo, State University of New York, Buffalo, NY, USA; School of Medicine and Biomedical Sciences, Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA; Jacobs Institute, Buffalo, NY, USA.
⁴ Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA; Department of Radiology, University at Buffalo, State University of New York, Buffalo, NY, USA; School of Medicine and Biomedical Sciences, Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA.
⁵ Department of Neurosurgery, University at Buffalo, State University of New York, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute, Kaleida Health, Buffalo, NY, USA; Department of Radiology, University at Buffalo, State University of New York, Buffalo, NY, USA; School of Medicine and Biomedical Sciences, Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA; Jacobs Institute, Buffalo, NY, USA. Electronic address: lnhbuffns@aol.com.

PMID: 24994091
DOI: 10.1016/j.nec.2014.04.012

Abstract

Carotid artery angioplasty and stenting (CAS) has experienced an astonishing rate of development over the last 2 decades, becoming a viable alternative to carotid endarterectomy (CEA) in the management of carotid stenosis. Many trials have attempted to compare both treatment modalities and establish indications for each, depending on clinical and anatomic features. In this article, the authors review the historical evolution of carotid stenting; its main technical aspects, indications, and contraindications; as well as the most important clinical trials comparing CAS and CEA.

Keywords: Atherosclerotic carotid disease; Carotid angioplasty and stenting; Carotid artery stenosis; Carotid endarterectomy; Carotid revascularization.

Publication types

Review

MeSH terms

Angioplasty, Balloon*
Carotid Stenosis / diagnosis
Carotid Stenosis / therapy*
Endovascular Procedures
Humans
Stents
Stroke / prevention & control*
Treatment Outcome