This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2017, Subject name: Surgery
Which of the following is the best management for radiation induced occlusive disease of carotid aery? 
Select and explain. 
A. Low dose aspirin, B. Carotid angioplasty and stenting, C. Carotid endaerectomy, D. Carotid bypass procedure
B: Carotid angioplasty and stenting
Answer: B: Carotid angioplasty and stenting 
Explanation: Radiation will cause obliterative endaeritis in small vessels and in larger vessels.It causes stenosis. In Radiation induced stenosis or occlusive disease, the preferred form of treatment is minimal invasive intervention: CAROTID ANGIOPLAST AND STENTING. Low dose Aspirin is not helpful Carotid bypass procedure is highly morbid procedure and Carotid endaerectomy is not usually performed