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Carotid artery stenting: Rationale, indications, and results

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Comprehensive Therapy

Abstract

Carotid stenting is a percutaneous, minimally invasive treatment for carotid stenosis. It does not carry the surgical risks of carotid endarterectomy and therefore can be applied to the elderly and to patients with comorbidities. Complications and late events appear low.

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References

  1. Zeitter E, Gruntzig A. Percutaneous recanalization. In: Schoop W, ed.Percutaneous Angioplasty. Berlin, Germany: Springer; 1978.

    Google Scholar 

  2. North American Symptomatic Carotid Endarterectomy Trial collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis.N Engl J Med. 1991;325:445–453.

    Google Scholar 

  3. Barnett HJ, Taylor, DW, Eauszw, M, et al for the North American Symptomatic Carotid Endarterectomy Trial collaborators. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis.N Engl J Med. 1998;339:1415–1425.

    Article  PubMed  CAS  Google Scholar 

  4. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis.JAMA. 1995;273:1421–1428.

    Article  Google Scholar 

  5. Tu JV, Hannan EL, Anderson GM, et al. The fall and rise of carotid endarterectomy in the United States and Canada.N Engl J Med. 1998;339:1441–1447.

    Article  PubMed  CAS  Google Scholar 

  6. European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis.Lancet. 1991;337:1235–1243.

    Article  Google Scholar 

  7. European Carotid Surgery Trialists’ Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST).Lancet. 1998;351:1379–1387.

    Article  Google Scholar 

  8. Brott T, Thalinger K. The practice of carotid endarterectomy in a large metropolitan area.Stroke. 1984;15:950–955.

    PubMed  CAS  Google Scholar 

  9. Rothwell PM, Slattery J, Warlow CP. A systematic review of the risks of stroke and death due to endarterectomy for symptomatic carotid stenosis.Stroke. 1996;27:260–265.

    PubMed  CAS  Google Scholar 

  10. Cebul RD, Snow RJ, Pine R, Hertzer NR, Norris DG. Indications, outcomes, and provider volumes for carotid endarterectomy.JAMA. 1998;279:1282–1287.

    Article  PubMed  CAS  Google Scholar 

  11. Hennerici M, Daffertshofer M, Meairs S. Concerns about generalisation of premature ACAS recommendations for carotid endarterectomy.Lancet. 1995;346:1041.

    Article  PubMed  CAS  Google Scholar 

  12. Wennberg DE, Lucas FL, Birkmeyer JD, Bredenberg CE, Fisher ES. Variation in carotid endarterectomy mortality in the Medicare population: trial hospitals, volume, and patient characteristics.JAMA. 1998;279:1278–1281.

    Article  PubMed  CAS  Google Scholar 

  13. Sundt TMJ, Meyer FB, Piepras DG, Fodee NG, Ebersold NJ, Marsh WR. Risk factors and operative results. In: Meyer FB, ed.Sundt’s Occlusive Cerebrovascular Disease. 2nd ed. Philadelphia, Pa: WB Saunders Co: 1994:241–247.

    Google Scholar 

  14. McCrory DC, Goldstein LB, Samsa GP, et al. Predicting complications of carotid endarterectomy.Stroke. 1993;24:1285–1291.

    PubMed  CAS  Google Scholar 

  15. Antiplatelet Trialists’ Collaboration. Collaborative overview of randomised trials of antiplatelet therapy—I: Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients.Br Med J. 1994;308:81–106.

    Google Scholar 

  16. Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke.Br Med J. 1989;298:789–794.

    Article  CAS  Google Scholar 

  17. Collins R, Peto R, MacMahon S, et al. Blood pressure, stroke, and coronary heart disease: II. Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context.Lancet. 1990;335:827–838.

    Article  PubMed  CAS  Google Scholar 

  18. Sacks FM, Pfeffer MA, Moye LA, et al for the Cholesterol and Recurrent Events Trial investigators. The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels.N Engl J Med. 1996;335:1001–1009.

    Article  PubMed  CAS  Google Scholar 

  19. Yadav JS, Roubin GS, Iyer S, et al. Elective stenting of the extracranial carotid arteries.Circulation. 1997;95:376–381.

    PubMed  CAS  Google Scholar 

  20. Mathur A, Roubin GS, Iyer SS, et al. Predictors of stroke complicating carotid artery stenting.Circulation. 1998;97:1239–1245.

    PubMed  CAS  Google Scholar 

  21. Mathur A, Roubin GS, Gomez CR, et al. Elective carotid artery stenting in the presence of contralateral occlusion.Am J Cardiol. 1998;81:1315–1317.

    Article  PubMed  CAS  Google Scholar 

  22. Hobson RW II, Brott T, Ferguson R, et al. CREST: carotid revascularization endarterectomy vs stent trial.Cardiovasc Surg. 1997;5:457–458.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Endovascular Therapy, Lenox Hill Heart and Vascular Institute of New York, 130 E. 77th St., 9th Floor, 10021, New York, NY

    Gishel New MD, Gary S. Roubin MD, PHD (Director), Sriram S. Iyer MD & Jiri J. Vitek MD, PhD

Authors
  1. Gishel New MD
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  2. Gary S. Roubin MD, PHD
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  3. Sriram S. Iyer MD
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  4. Jiri J. Vitek MD, PhD
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New, G., Roubin, G.S., Iyer, S.S. et al. Carotid artery stenting: Rationale, indications, and results. Compr Ther 25, 438–445 (1999). https://doi.org/10.1007/BF02944296

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  • DOI: https://doi.org/10.1007/BF02944296

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