Carotid artery surgery: back to the future
نویسندگان
چکیده
The first successful reconstruction of a stenotic internal carotid artery was performed in 1951 by Carrera et al.1 The first successful carotid reconstruction was performed by Carrera et al. in 1951 in a male patient suffering from stroke2. During this procedure, they cut out the stenosed area of the proximal internal carotid artery and made an end-to-end anastomosis using the transected proximal portion of the external carotid artery to the internal carotid artery. The operation was not reported until 1955. Many years later, DeBakey claimed he had performed a successful carotid endarterectomy (CEA) in 19533. Over the years, it became the golden standard procedure for managing both symptomatic and asymptomatic carotid disease. In the 1990s, carotid angioplasty and stenting became a valuable alternative to treat carotid artery disease. Technological developments led to superior endovascular devices, and, together with the increasing experience in this new treatment, significantly improved the results of carotid artery stenting (CAS)4-7. When CAS was introduced as a treatment option in our service in 1995,our experience in treating symptomatic and asymptomatic patients with surgery as well as with endovascular therapy accumulated. The objective of this article was to illustrate how carotid artery disease is treated in our hospital and the changes we Abstract
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