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2009, Number 5

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Gac Med Mex 2009; 145 (5)

Manejo endovascular de la ateroesclerosis carotídea Parte II. Criterios terapéuticos actuales y limitaciones

Santos-Franco JA, Zenteno-Castellanos MA, Jaramillo-Magaña JJ, Vega-Montesinos S, Lee-Aguirre Á

Language: Spanish
References: 63
Page: 415-425
PDF size: 192.92 Kb.


ABSTRACT

Carotid endarterectomy has for long been regarded as the gold standard for the management of symptomatic atherosclerosis of the carotid bifurcation, and carotid angioplasty is merely considered a secondary alternative reserved to surgically high-risk patients. However, several studies have shown that the efficacy of carotid angioplasty has equaled that of carotid endarerectomy and additionally provides unshared advantages: local anesthesia is sufficient, the whole extracranial and intracranial carotid circulation are amenable to treatment and wound-related complications are not seen. Besides a thorough review of the main published studies comparing both techniques, we provide updated criteria for the endovascular management of carotid artery disease, discussing their benefits and limitations.


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