Basic treatment of patients with carotid stenosis is a permanent complex treatment (lowering of risk factors of
atherosclerosis, antiplatelets treatment and the potential use of the inhibitor of angiotensive converting enzyme).
Symptomatic stenosis (over 85%in European classification of arteriography) are indicated for the surgery. In smaller
stenoses (75–85 %), only selected patients are indicated for such treatment. Surgery in asymptomatic stenoses over
75 % should be done in strictly indicated cases only. Operation should be performed at clinics with sufficient
experience only. In cases without preoperative angiography, indication for surgery should be based on duplex
sonography and some other non-invasive method. Endovascular treatment by primary stent is indicated for the most
serious cases at the best clinics.
carotid stenosis, arteriography, sonography, endarterctomy.