Atherosclerotic carotid disease. Experience at the National Institute of Neurology and Neurosurgery in patients undergoing carotid angioplasty with stent

Abstract

The carotid atherosclerotic disease (CD) is a common global entity, with a prevalence of approximately 55 to 60%, being more frequent in patients over 60 years, with no significant differences between gender. The moderate-severe CAD (stenosis> 50%) accounts for about 15% of cases of stroke and up to 50% of transient ischemic episodes. It also identified by carotid bruits in asymptomatic persons (without presenting symptoms of cerebral ischemia). Treatment consisting of antiplatelet, statin use and control of risk factors; but sometimes invasive treatment (endarterectomy vs stenting) is required. Carotid angioplasty may be superior to carotid endarterectomy in a group of patients, such as those previously undergone neck surgery or radiation.