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Instituto Nacional de Neurología y Neurocirugía

2014, Number 3

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Arch Neurocien 2014; 19 (3)

Atherosclerotic carotid disease. Experience at the National Institute of Neurology and Neurosurgery in patients undergoing carotid angioplasty with stent

Santana-López JM, Zenteno-Castellanos MA, Balderrama BJ, Escobar-Pérez L, Vega-Montesinos S

Language: Spanish
References: 35
Page: 136-146
PDF size: 1060.08 Kb.


ABSTRACT

The carotid atherosclerotic disease (CD) is a common global entity, with a prevalence of approximately 55 to 60%, being more frequent in patients over 60 years, with no significant differences between gender. The moderate-severe CAD (stenosis › 50%) accounts for about 15% of cases of stroke and up to 50% of transient ischemic episodes. It also identified by carotid bruits in asymptomatic persons (without presenting symptoms of cerebral ischemia). Treatment consisting of antiplatelet, statin use and control of risk factors; but sometimes invasive treatment (endarterectomy vs stenting) is required. Carotid angioplasty may be superior to carotid endarterectomy in a group of patients, such as those previously undergone neck surgery or radiation.


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