Endarterectomy and Angioplasty in Long-Segment or High Located Carotid Stenoses
The modified balloon dilatation technique, i.e., percutaneous trans-luminal angioplasty, developed by DOTTER (1) and GRÜNTZIG (3), is a relatively new method of treating vascular stenoses and obstructions. The results achieved with this method, which has already become a routine procedure in angiology and vascular surgery, are very good (7). It has, however, rarely been applied to the cervical vessels. One of the principal indications is nonarteriosclerotic angiostenoses such as fibromuscular dysplasia (5). Although the use of percutaneous trans-luminal angioplasty on arteriosclerotic cerebral vessels is problematic since it can easily embolize plaques into the cerebral circulation and subsequently produce a cerebral infarct, complication-free courses have been reported in the literature (2, 6, 8).
KeywordsInternal Carotid Artery Common Carotid Artery Balloon Catheter Carotid Bifurcation Fibromuscular Dysplasia
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