Techniques endoluminales de traitement des lésions de la bifurcation carotidienne

Today, the technique of carotid artery endoprosthesis is well standardised. The procedure consist of the stenting of the entire length of the carotid lesion and, for most operating centres, the use of cerebral protection. Preoperative therapy by aspirin and clopidogrel is mandatory as this reduces the rate of postoperative acute in-stent thrombosis. In order to ensure high rates of technical success and low rates of neurological events, carotid stenting should not be performed in patients with adverse anatomical features and the endovascular procedure guidelines should be strictly applied. Comparison of carotid stenting and endarterectomy is currently being performed in prospective randomised trials.