Is carotid artery stenting superior to carotid endarterectomy in symptomatic stroke patients?
Peter M Rothwell
Correspondence Department of Clinical Neurology, University of Oxford, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK
Email peter.rothwell@clinical-neurology.oxford.ac.uk
This article has no abstract so we have provided the first paragraph of the full text.
Carotid endarterectomy substantially reduces the risk of ipsilateral ischemic stroke in patients with recently symptomatic stenosis.1 Endovascular treatment, first used in the limbs in the 1960s and subsequently in the renal and coronary arteries, is an obvious alternative to endarterectomy, but was introduced more cautiously for carotid bifurcation stenosis in the early 1990s because of the fear of an increased procedural risk of stroke. The endovascular approach is now widely used when endarterectomy is potentially difficult (e.g. with high bifurcation or postradiation stenosis) although it is not always feasible because of contrast allergy, difficult vascular anatomy, or lumen thrombus.
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