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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Surgery

Zucker School of Medicine at Hofstra/Northwell

2015

Carotid angioplasty and stenting;; carotid artery stenosis;; carotid endarterectomy

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Full-Text Articles in Medicine and Health Sciences

Comparative Review Of The Treatment Methodologies Of Carotid Stenosis, C. Bae, M. Szuchmacher, J. B. Chang Jan 2015

Comparative Review Of The Treatment Methodologies Of Carotid Stenosis, C. Bae, M. Szuchmacher, J. B. Chang

Journal Articles

The treatment of carotid stenosis entails three methodologies, namely, medical management, carotid angioplasty and stenting (CAS), as well as carotid endarterectomy (CEA). The North American Symptomatic Carotid Endarterectomy Trial (NASCET) and European Carotid Surgery Trial (ECST) have shown that symptomatic carotid stenosis greater than 70% is best treated with CEA. In asymptomatic patients with carotid stenosis greater than 60%, CEA was more beneficial than treatment with aspirin alone according to the Asymptomatic Carotid Atherosclerosis (ACAS) and Asymptomatic Carotid Stenosis Trial (ACST) trials. When CAS is compared with CEA, the CREST resulted in similar rates of ipsilateral stroke and death rates …