Sténose carotidienne : du diagnostic au traitement
Abstract
Carotid atherosclerosis is a major cause of ischemic stroke. The risk of stroke depends on both the degree of stenosis and the high-risk plaque morphological features, particularly intraplaque hemorrhage. Identifying these markers improves risk stratification beyond the degree of stenosis alone and helps select patients who are most likely to benefit from revascularization. The management of carotid stenosis, both symptomatic and asymptomatic, has evolved considerably. Advances in medical therapy, including strict control of vascular risk factors, antiplatelet agents, and lipid-lowering treatments, have reduced the risk of ipsilateral stroke in contemporary cohorts, thereby limiting the absolute benefit of surgical interventions to carefully selected cases.
Fields of Study & Subjects
Cerebrovascular and Carotid Artery Diseases
Oropharyngeal Anatomy and Pathologies
Intracranial Aneurysms: Treatment and Complications
Publication details
- Journal / source
- Revue Médicale Suisse
- Publisher
- Médecine et Hygiène
- Volume
- 22
- Issue
- 959
- Pages
- 747–752
- Publication date
- 1 January 2026
- Language
- EN