Abstract
We review our 20-plus years of experience of patients treated with carotid endarterectomy (CEA), or percutaneous transluminal angioplasty and stenting for severe carotid stenosis. Of 246 patients, 221 underwent CEA and 25 underwent stenting. Of 221 patients treated with CEA, 6 who underwent CEA at the subacute period after stroke suffered from perioperative complication (2.7%). Ipsilateral stroke did not occur during the follow-up period (1-21.4 years) after CEA, although 2 patients had asymptomatic restenosis. Of 25 patients treated with stenting, 2 patients experienced transient occlusion of the middle cerebral artery and 1 had permanent occlusion of the retinal artery during procedure. Neither ipsilateral stroke nor restenosis occurred during the follow-up period (1-4 years) after stenting. CEA and endovascular treatment effectively prevented stroke in patients with good perioperative clinical course and without medical risk factors.
