%0 Journal Article
%T What Is the Best Technique for Treating Carotid Disease?
%A Abdelkarim A
%A Hamouda M
%A Malas MB
%J Adv Surg
%V 58
%N 1
%D 2024 Sep
%M 39089775
暂无%R 10.1016/j.yasu.2024.04.010
%X This is a comprehensive review of carotid artery revascularization techniques: Carotid Endarterectomy (CEA), Transfemoral Carotid Artery Stenting (TFCAS), and Transcarotid Artery Revascularization (TCAR). CEA is the gold standard and is particularly effective in elderly and high-risk patients. TFCAS, introduced as a less invasive alternative, poses increased periprocedural stroke risks. TCAR, which combines minimally invasive benefits with CEA's neuroprotection principles, emerges as a safer option for high-risk patients, showing comparable results to CEA and better outcomes than TFCAS. The decision-making process for carotid revascularization is complex and influenced by the patient's medical comorbidities and anatomic factors.