Cervical carotid revascularization

The use of angioplasty and stent techniques for revascularization of the ce rvical carotid bifurcation has been limited. Carotid endarterectomy has bee n demonstrated to be safe and effective in two multicentered randomized tri als. In patients who are considered at risk for excessive morbidity and mor tality from open surgical revascularization, carotid endovascular revascula rization provides a good alternative. This article outlines the indications , methods, complications and perioperative management of patients treated w ith balloon angioplasty and stent of the cervical carotid bifurcation.