Abstract：
:Patients with symptomatic carotid artery disease should be managed by a multidisciplinary team including neurologists, vascular surgeons and interventionalists. Duplex ultrasound is the most widely used diagnostic modality to assess carotid disease, followed by additional imaging tests (CT- or MR-angiography) to confirm the severity of the stenosis, detect brain lesions, and assess intracranial circulation as well as the supra-aortic anatomy. Although overall randomized trial results favored (CEA) over carotid artery stenting (CAS) in symptomatic patients, this was likely related to the insufficient expertise of the endovascular specialists in several of the trials. CAS should be considered as a valid alternative to CEA in patients with favorable anatomy and in those at high-surgical risk, provided it is performed by experienced operators in high volume centers. Under those circumstances, it is reasonable to offer the patients the two options (CEA or CAS) after description of pros and cons of each therapy. CAS results may be further improved by better patient selection, new techniques, and technology advancements.
journal_name
Prog Cardiovasc Disjournal_title
Progress in cardiovascular diseasesauthors
Montorsi P,Galli S,Ravagnani PM,Roffi Mdoi
10.1016/j.pcad.2017.04.002subject
Has Abstractpub_date
2017-01-01 00:00:00pages
601-611issue
6eissn
0033-0620issn
1873-1740pii
S0033-0620(17)30053-1journal_volume
59pub_type
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,多中心研究,评审
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
doi：10.1016/j.pcad.2006.03.002
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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journal_title：Progress in cardiovascular diseases
pub_type： 杂志文章,评审
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更新日期：2015-11-01 00:00:00
abstract：:Barometric pressure falls with increasing altitude and consequently there is a reduction in the partial pressure of oxygen resulting in a hypoxic challenge to any individual ascending to altitude. A spectrum of high altitude illnesses can occur when the hypoxic stress outstrips the subject's ability to acclimatize. Ac...
journal_title：Progress in cardiovascular diseases
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