Pathologie athéroscléreuse des troncs supra-aortiques

Carotid stenosis are the most frequent lesions of supra aortic trunks. The availability of noninvasive investigation means, such as Duplex Scan, MRI and Angio-MRI, explain the extent at which these lesions are currently detected. The improvement of anesthetic procedures and the reproducibility of surgical procedures have resulted in improved management and results. The improvement of endovascular techniques has made such treatment commonly considered for proximal stenosis, whereas long-term benefits of endovascular treatment for carotid lesions remain to be demonstrated. The indications for the treatment of occlusive lesions of subclavian and vertebral arteries are now better identified.