Carotid angioplasty and stenting

Br Med Bull. 2000;56(2):549-56. doi: 10.1258/0007142001903193.


The endovascular management of carotid artery disease is a rapidly developing area currently under evaluation in Europe and the US. The technique is a simple progression of those skills used in peripheral vessels and involves the percutaneous placement of a metallic stent. Current data indicate that it may well offer a similar safety profile and efficacy at stroke prevention as conventional endarterectomy, but as yet there has only been one randomised controlled trial (CAVATAS). Future developments include the identification of a cohort of patients best treated with this technology, the evaluation of cerebral protection systems, and optimisation of pharmacological support.

Publication types

  • Review

MeSH terms

  • Angioplasty, Balloon / methods*
  • Carotid Stenosis / therapy*
  • Randomized Controlled Trials as Topic
  • Stents*