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Carotid Artery Stenosis:Treatment with Protected Balloon Angioplasty and Stent Placement
Radiology 201:627-636, 6131996., Theron,J.G.,et al, 1996
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Article Abstract
No procedure-related complications occurred in the 71 cases of nonatherosclerotic stenosis and in the 14 cases of proximal carotid artery and siphon atherosclerotic stenosis.Among the 38 patients who underwent angioplasty without cerebral protection,dissection occurred in two(5%)and embolic complication occurred in three(8%)during the procedure.Among 136 patients in whom cerebral protection was used,no embolic complications occurred during angioplasty,and two(1%)occurred during or after stent placement without protection.No residual flaps were found after stents were placed,and the restenois rate decreased from 16%to 4%.Endovascular treatment can be considered for all types of carotid stenosis.Cerebral protection is mandatory to eliminate embolic complication in cases of atherosclerotic stenosis in the internal carotid artery or carotid bifurcation.Stent placement has eliminated the risk of immediate dissection and reduced the risk of delayed restenosis.
 
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arterial dissection
arterial dissection,carotid
carotid artery atherosclerosis
carotid artery disease
carotid artery stenosis
cerebral embolism
embolism
endovascular therapy
neuroradiology,interventional
stent,carotid artery
transluminal angioplasty,carotid artery
treatment of neurologic disorder

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