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Br Med Bull. 2000;56(2):549-56.

Carotid angioplasty and stenting.

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Sheffield Vascular Institute, Northern General Hospital, UK.


The endovascular management of carotid artery disease is a rapidly developing area currently under evaluation in Europe and the US. The technique is a simple progression of those skills used in peripheral vessels and involves the percutaneous placement of a metallic stent. Current data indicate that it may well offer a similar safety profile and efficacy at stroke prevention as conventional endarterectomy, but as yet there has only been one randomised controlled trial (CAVATAS). Future developments include the identification of a cohort of patients best treated with this technology, the evaluation of cerebral protection systems, and optimisation of pharmacological support.

[Indexed for MEDLINE]

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