Carotid Revascularization: Current Practice and Future Directions

Jacob H. Bagley, Ryan Priest

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Carotid stenosis is responsible for approximately 15% of ischemic strokes. Carotid revascularization significantly decreases patients' stroke risk. Carotid endarterectomy has first-line therapy for moderate-To-severe carotid stenosis after a series of pivotal randomized controlled trials were published almost 30 years ago. Revascularization with carotid stenting has become a popular and effective alternative in a select subpopulation of patients. We review the current state of the literature regarding revascularization indications, patient selection, advantages of each revascularization approach, timing of intervention, and emerging interventional techniques, such as transcarotid artery revascularization.

Original languageEnglish (US)
Pages (from-to)132-139
Number of pages8
JournalSeminars in Interventional Radiology
Volume37
Issue number2
DOIs
StatePublished - Jun 1 2020

Keywords

  • carotid endarterectomy
  • carotid revascularization
  • carotid stenosis
  • carotid stent
  • interventional radiology
  • transcarotid artery revascularization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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