Abstract：
AIMS:The aim of this study was to carry out a review of the state of the art in the endovascular treatment of carotid disease, taking into account the findings currently available, its indications, the technical aspects linked to the intervention as well as those related to the occupational training of the specialists involved in performing the technique. DEVELOPMENT:Surgical treatment of carotid artery disease can be of benefit to symptomatic patients with stenoses above 70% and to subgroups of patients with symptomatic stenoses between 50-69%. The benefit of carotid endarterectomy in asymptomatic patients is the object of a great deal of controversy that is concerned with the reduction in risk that is obtained and also the large number of patients to be treated in order to prevent the occurrence of ischaemic events. The endovascular treatment of carotid disease comes to the fore, then, as an alternative to surgical treatment. At the present time, a number of randomised multicentre studies are being conducted that will allow the two techniques to be compared in homogeneous groups of patients. Preliminary data nevertheless seem to suggest that this technique offers a number of benefits, especially in groups of subjects with a high surgical risk, and thus they could allow the indications for revascularisation to be extended. We analyse the technical and medical aspects linked to this procedure, the findings from studies carried out to date, its indications and the occupational training of the specialists involved in performing the technique. CONCLUSIONS:The endovascular treatment of carotid disease constitutes an alternative to surgical treatment in specifically selected patients. The potential increase in its indications is conditioned by the results from the multicentre studies currently being carried out.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Castro-Reyes E,González-García A,Grupo Español de Neurorradiología Intervencionista.subject
Has Abstractpub_date
2005-12-16 00:00:00pages
749-56issue
12eissn
0210-0010issn
1576-6578pii
rn2004336journal_volume
41pub_type
杂志文章,评审abstract：INTRODUCTION:The Aragon Stroke Care Plan (PAIA) was created in 2008 within the framework of the Spanish National Health System. Monitoring hospital care of strokes by means of periodic audits was defined as one of its lines of work. AIM:To determine the quality of the hospital care process for stroke patients in Arago...
journal_title：Revista de neurologia
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journal_title：Revista de neurologia
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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journal_title：Revista de neurologia
pub_type： 共识发展会议,杂志文章,实务指引
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更新日期：2009-09-16 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
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journal_title：Revista de neurologia
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doi：
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2013-10-16 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-11-16 00:00:00
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journal_title：Revista de neurologia
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doi：
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journal_title：Revista de neurologia
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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journal_title：Revista de neurologia
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doi：
更新日期：1997-05-01 00:00:00
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