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Titolo:
New developments in endovascular interventions for extracranial carotid stenosis
Autore:
Tan, WA; Jarmolowski, CR; Wechsler, LR; Wholey, MH;
Indirizzi:
Univ Pittsburgh, Med Ctr Shadyside, Pittsburgh Vasc Inst, Pittsburgh, PA 15232 USA Univ Pittsburgh Pittsburgh PA USA 15232 sc Inst, Pittsburgh, PA 15232 USA
Titolo Testata:
TEXAS HEART INSTITUTE JOURNAL
fascicolo: 3, volume: 27, anno: 2000,
pagine: 273 - 280
SICI:
0730-2347(2000)27:3<273:NDIEIF>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE ISCHEMIC STROKE; MUSCLE CELL-PROLIFERATION; PORCINE CORONARY-ARTERIES; SHAPE-MEMORY METAL; GENE-THERAPY; BALLOON ANGIOPLASTY; NEOINTIMA FORMATION; ENDOTHELIAL-CELLS; COATED STENTS; TRIAL;
Keywords:
angioplasty, balloon/adverse effects; blood vessel prosthesis implantation; brain ischemia/drug therapy/prevention & control; carotid artery diseases/therapy; carotid stenosis; cerebrovascular disorders/prevention & control; endarterectomy, carotid; prosthesis design; stents/utilization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
71
Recensione:
Indirizzi per estratti:
Indirizzo: Tan, WA Univ Pittsburgh, Med Ctr Shadyside, Pittsburgh Vasc Inst, 5230 CtrAve, Pittsburgh, PA 15232 USA Univ Pittsburgh 5230 Ctr Ave Pittsburgh PA USA 15232 PA 15232 USA
Citazione:
W.A. Tan et al., "New developments in endovascular interventions for extracranial carotid stenosis", TEX HEART I, 27(3), 2000, pp. 273-280

Abstract

We provide an overview of recent developments in carotid interventional technique and equipment including new stents and emboli protection devices. The newer self-expanding stents lessen the problem of external stent compression associated with balloon expandable stents, but precise deployment and the matching (by length) of stents to lesions remain problematic. We also discuss emerging pharmacologic strategies for cerebral protection in stroke. Multiple randomized clinical trials and multicenter registries are under way to compare percutaneous with surgical strategies for the treatment of carotid stenosis. These include the evaluation, of emboli protection devices,and, to a lesser degree, intravenous glycoprotein IIb/IIIa antagonists. Other clinical trials are aimed towards refining the ability to stratify patients by risk, in order to identify the subsets that would benefit most fromthese complex and expensive procedures.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 18:54:27