Pathologie athéroscléreuse des troncs supra-aortiques

Carotid stenoses are the most frequent lesions of the aortic arch. The development of noninvasive investigation techniques such as Duplex Scan, MRI and Angio-MRI allowed a better detection of such lesions. The improvement of anaesthetic techniques and the reproducibility of the surgical procedures have resulted in improved management and results. Advances in endovascular techniques have 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.