The importance of treating symptomatic high-grade stenosis of the carotid artery is now widely acknowledged. The criteria for nonmedical treatment is continually refined by taking into account the @entity1 's symptoms, age, gender, family history, and treatment-related risk factors. Such refinements have realized importance because the small benefit of invasive treatment can be negated by treatment complications. Improvements in medical treatments such as novel antiplatelet agents, antioxidant, and statin therapy, will ensure that the gain from invasive methods will be further reduced. Surgical (open) carotid endarterectomy (CEA) is the gold standard treatment for high-risk lesions, because it achieves the crucial goal of excising the culprit @entity1856 , thus providing treatment durability. However, this treatment is highly dependent on surgical standards, and therefore, it may not be beneficial in all centers. In @entity3538 ( @entity3538 ), the @entity1856 is distended with an @entity661 . Because the @entity1856 is not removed, but the pathologic process is altered, durability cannot be assumed and restenosis remains a significant possibility. In this article, the areas of concern for CEA and @entity3538 will be compared and contrasted. I will address the standards of care used when treating @entity1 with @entity2998 , and discuss the procedure that should be followed when introducing new treatment options.

XXXX : should angioplasty be considered an alternative to open carotid surgery?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3538 :: ('MESH:D002341', 'Disease') :: ['carotid angioplasty', 'CAP'] @entity2998 :: ('MESH:D002340', 'Disease') :: ['carotid artery disease'] @entity661 :: ('MESH:D054549', 'Disease') :: ['endovascular balloon'] @entity1856 :: ('MESH:D058226', 'Disease') :: ['atheroma']
@entity2998 :: (MESH:D002340,Disease) :: ['Carotid artery disease']
