Treatment of Cervical Carotid Artery Stenosis

Diagnosis and treatment of carotid artery stenosis.

Diagnosis and management of carotid arterial occlusive disease and its ensuing comorbid illnesses have been the focus of extensive debate during the past two decades. The development of sophisticated ultrasound technology has enabled us to objectively define the severity of carotid stenosis in regions commonly accountable for stroke. Results from several well-designed prospective randomized tri...

Evaluation and Treatment of Carotid Artery Stenosis

Cost-Effectiveness of Carotid Endarterectomy versus Carotid Artery Stenting for Treatment of Carotid Artery Stenosis

BACKGROUND Symptomatic or asymptomatic patients with significant carotid artery stenosis (range, 70% to 99%) generally undergo either carotid artery endarterectomy (CEA) or carotid artery stenting (CAS) to prevent stroke. In this study, we evaluated the cost effectiveness of these two treatment modalities. METHODS A total of 47 patients (mean age, 67.1±9.1 years; male, 87.2%) undergoing eithe...

Extracranial carotid artery stenosis.

BACKGROUND Carotid endarterectomy is the most common surgical procedure used to treat stenosis of the extracranial precerebral carotid artery. Data from several randomized controlled trials are available to help guide its use in specific patient subgroups. Carotid angioplasty with stenting is also being performed, and clinical trials comparing this procedure with carotid endarterectomy are in p...

Carotid Artery Stenting for Symptomatic Stenosis of the Cervical Carotid Artery Associated with Persistent Primitive Hypoglossal Artery: A Case Report

Objective: A case of symptomatic cervical carotid artery stenosis with persistent primitive hypoglossal artery (PPHA) treated by carotid artery stenting (CAS) with appropriate embolic protection is reported. Case Presentation: The patient was a 65-year-old male presenting with left hemiplegia. MRI revealed infarction in the right cerebral hemisphere, and cerebral angiography demonstrated stenos...