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ISSN 1405-0099 (Print)

2005, Number 1

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Cir Gen 2005; 27 (1)

Current state of the surgical treatment of carotid artery occlusive disease

Fink-Josephi G, Gutiérrez VS

Language: Spanish
References: 24
Page: 64-68
PDF size: 83.63 Kb.


ABSTRACT

Objective:Carotid artery disease is a common problem in developed countries and clearly increasing in the developing nations. The objective of this review is to assess the current state of surgical treatment of occlusive carotid artery disease.
Setting:Third level health care private hospital.
Results:This disease can cause diverse symptoms due to ulceration, plaque or progression to stenosis or occlusion generally caused by embolism or hypoperfusion. The nature or type of plaque plays an important role, not only the presence or absence of symptoms and the percentage of stenosis. In the last two decades important advances have been achieved in the treatment of the extracranial cerebrovascular disease, which have determined the efficacy of conventional surgical treatment to prevent cerebral infarcts. A minimally invasive surgical alternative or endovascular surgery exists to treat these stenotic-type lesions by means of angioplasty, placement of endoluminal stents, with or without distal protection systems (filters or occlusive balloons), a method that, although not superior to conventional surgery, has shown to yield results matching those of conventional surgery.
Conclusion:Conventional surgery continues to be the gold standard for occlusive carotid artery disease.


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