Stent carotídeorevisión y puesta al día
- Revilla Calavia, Alvaro
- San Norberto García, Enrique
- Brizuela, J. A.
- Mengíbar Fuentes, Lucas
- Salvador Calvo, R.
- Merino Díaz, Borja
- Martín Pedrosa, José Miguel
- Ibáñez, M.A.
- Cenizo, Noelia
- Río, L. del
- Del Blanco, I.
- González Fajardo, J. A.
- Gutiérrez Alonso, Vicente
- Carpintero, L.
- Carrera, S.
- Vaquero Puerta, Carlos
ISSN: 1139-8264
Year of publication: 2009
Volume: 12
Issue: 1
Pages: 40-43
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
INTRODUCTION. In the current moment a total agreement does not exist on the treatment of choice in the carotid stenosis, both therapeutic existing options are carotid thromboendarterectomy and carotid stent. In this review we have wanted to analyze the results of the studies published in the last years and the scientific existing evidence at present. MATERIAL AND METHODS. There was realized a bibliographical search of Native Library of Medicine (PubMed). The key words introduced to realize the above mentioned search were carotid stenosis, stent, and thromboendarterectomy. The articles were included published from 2006 until 2008, in English and Spanish. RESULTS. With the limits mentioned previously, we found 225 articles and 24 reviews, 14 of them were relating to the topic. CONCLUSION. There are several controversies because the studies are heterogeneous (different patients, technicals and duration of follow-up) and five of them were interrupted early by the high index of stroke/death of the endovascular treatment. The scientific evidence on the treatment of the carotid stenosis by means of angioplasty/stent, does not support a change in the clinical practice opposite to carotid thromboendarterectomy , except in groups of selected patients.