[Carotid stenting: an alternative to surgery?]. / Stenting de la carotide: une alternative à la chirurgie?
Rev Med Suisse
; 5(205): 1177-80, 1182-3, 2009 May 27.
Article
en Fr
| MEDLINE
| ID: mdl-19517749
A stenosis of the internal carotid artery may cause 10-20% of all ischemic strokes. In symptomatic patients, carotid revascularization is indicated in the presence of a stenosis 50%. in asymptomatic patients, the indication for revascularization based on randomized trials is given at > or = 60% stenosis, as long as the estimated perioperative death or stroke risk is < 3%. In clinical practice however, asymptomatic stenoses are usually treated only if luminal narrowing exceeds 70-80%. The choice of the revascularization strategy (endarterectomy versus stenting) should be based on the surgical risk profile of the patient and on the locally available expertise. Carotid artery stenting is particularly beneficial in patients at high risk for surgery.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Arteria Carótida Interna
/
Stents
/
Endarterectomía Carotidea
/
Estenosis Carotídea
/
Accidente Cerebrovascular
Tipo de estudio:
Clinical_trials
Límite:
Humans
Idioma:
Fr
Revista:
Rev Med Suisse
Asunto de la revista:
MEDICINA
Año:
2009
Tipo del documento:
Article
Pais de publicación:
Suiza