Abstract
Carotid angioplasty was first proposed by Mathias in 1997 (1), and in 1980 both Kerber et al. (2) and Mullan et al. (3) published case reports of successful carotid angioplasty during carotid endarterectomy. A percutaneous carotid intervention offers several advantages to surgery. It eliminates the potential risk of general anesthesia and surgical complications of endarterectomy, such as neck hematoma, infection, cervical strain, and cranial nerve damage. Also, high-risk patients such as those with previous ipsilateral carotid end-arterectomy, previous radiation therapy to the neck or previous neck surgery, contralateral carotid occlusion, lesions above the mandible or below the clavicle, or neurologic instability, with coexistent coronary or pulmonary disease may be treated (4). Although percutaneous transcatheter techniques have been widely accepted in other vascular areas, they have met with tempered enthusiasm in the carotid arteries owing to the fear of cerebral embolism. However, the recent rapid growth of new technologic advances has aroused greater interest in the endovascular procedures.
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Cho, L., Yadav, J.S. (2003). Cerebrovascular Interventions. In: Lincoff, A.M. (eds) Platelet Glycoprotein IIb/IIIa Inhibitors in Cardiovascular Disease. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-376-7_19
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DOI: https://doi.org/10.1007/978-1-59259-376-7_19
Publisher Name: Humana Press, Totowa, NJ
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