Carotid Intervention

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  • The basic treatment of carotid atherosclerosis is management of risk factors such as hypertension, dyslipidaemia, diabetes and smoking, along with lifestyle modification and antiplatelet medications. However, current guidelines recommend carotid revascularisation procedures such as carotid endarterectomy (CEA) or carotid artery stenting (CAS), depending on the presence of symptoms and the degree of stenosis.

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    The basic treatment of carotid atherosclerosis is management of risk factors such as hypertension, dyslipidaemia, diabetes and smoking, along with lifestyle modification and antiplatelet medications. However, current guidelines recommend carotid revascularisation procedures such as carotid endarterectomy (CEA) or carotid artery stenting (CAS), depending on the presence of symptoms and the degree of stenosis.

    Carotid stenting has been introduced for the treatment of carotid artery stenosis as a potentially less invasive therapy than carotid endarterectomy, because carotid stenting does not require general anaesthesia and does not lead to local surgical complications. Despite major technical progress in decreasing the risk of embolisation, this risk continues to be a hurdle in the acceptance of carotid angioplasty and stenting.

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