A Review of Studies Compar­ing the Ef­fect of Endovascular and Surgical Treatment of Internal Carotid Artery Stenosis


Authors: D. Krajíčková 1,2;  A. Krajina 1,3
Authors‘ workplace: LF UK a FN Hradec Králové Komplexní cerebrovaskulární centrum 1;  LF UK a FN Hradec Králové Neurologická klinika 2;  LF UK a FN Hradec Králové Radiologická klinika 3
Published in: Cesk Slov Neurol N 2016; 79/112(2): 173-177
Category: Review Article

Overview

The authors present a systematic review of recent large randomized studies comparing short and long-term effect of endovascular and surgical treatment of the internal carotid artery stenosis at its origin. The studies showed similar beneficial long-term effect of both methods. Higher rate of complications in angioplasty is caused by minor debilitating ischemic strokes in the periprocedural period while the endarterectomy has higher risk of myocardial infarction. Experience of the operator and appropriate patient indication for therapy are crucial for treatment success. Patients should be treated in centers in which both methods are routinely available with lower rate of complications.

Key words:
carotid stenting – carotid endarterectomy –randomized study – periprocedural complications – long-term outcomes

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


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Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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