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Andrew R. Xavier, MD; Seemant Chaturvedi, MD

Arch Neurol. 2008;65(12):1670-1672.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The overwhelming majority of stroke events are ischemic, and up to one-quarter of these can be related to atherosclerotic disease of the cervical internal carotid artery.¹ Carotid stenosis causes ischemic stroke by acting as an embolic source and/or causing hypoperfusion of the ipsilateral cerebral hemisphere. Carotid endarterectomy is an established treatment for preventing stroke associated with high-grade carotid stenosis.^2-4 Carotid angioplasty with stenting is evolving as an alternative to carotid endarterectomy, particularly in patients who have a higher complication rate with carotid endarterectomy.^5-6 This article will briefly review the indications and limitations of carotid endarterectomy in patients with coexisting coronary artery disease. Carotid angioplasty and stenting could be a safe and viable alternative in the treatment of these high-risk carotid endarterectomy candidates.

CAROTID ENDARTERECTOMY TRIALS AND PRACTICE

The North American Symptomatic Carotid Endarterectomy Trial (NASCET) established the primary role of carotid endarterectomy in symptomatic patients with high-grade carotid . . . [Full Text of this Article]

HIGH-RISK CORONARY PATIENTS AND CAROTID ENDARTERECTOMY

CAROTID ANGIOPLASTY AND STENTING IN HIGH-RISK CORONARY PATIENTS

AUTHOR INFORMATION
Author Affiliations: Departments of Neurology (Drs Xavier and Chaturvedi), Neurosurgery, and Radiology (Dr Xavier), Wayne State University School of Medicine, Detroit, Michigan.

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