Carotid Artery Stenting in Asymptomatic Carotid Artery Stenosis: JACC Review Topic of the Week.

Carotid Artery Stenting in Asymptomatic Carotid Artery Stenosis: JACC Review Topic of the Week.

Beckman JA; Ansel GM; Lyden SP; Das TS

Journal of the American College of Cardiology

2020

2020-02-18

The advance of therapies to reduce the stroke impact of asymptomatic carotid artery stenosis has proved difficult over the last decade. Disagreement concerning the underlying randomized control trials has limited entry into the care arena of endovascular therapies. Recently, advances in percutaneous therapies for carotid artery disease have been reported and provide a substantial database supporting the further incorporation of endovascular-based therapies in patients who need revascularization and meet selection criteria. With a second randomized control trial now published, it is time for a re-evaluation of endovascular therapy as a component of carotid artery care. This review describes the advances in the field in the last 5 years, clarifying the current position of these therapies in the care of the patient with asymptomatic carotid artery disease.

Humans; Stents; stroke; Clinical Competence; Asymptomatic Diseases; Insurance Health Reimbursement; carotid artery; endarterectomy; stenosis; stent; Carotid Stenosis/surgery; Endovascular Procedures/economics/instrumentation/standards

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

journalArticle

648-656

6

75

1558-3597 0735-1097

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