A Randomized Trial of Decision-Making in Asymptomatic Carotid Stenosis
نویسندگان
چکیده
منابع مشابه
Carotid endarterectomy for asymptomatic carotid stenosis: asymptomatic carotid surgery trial.
Effective prevention is inarguably the best option for reducing the individual and societal burden of stroke. For each patient, clinicians balance the benefits of a given preventive therapy against its associated risks and costs. Where possible, these assessments should be based on the results of randomized clinical trials. Carotid endarterectomy (CEA), the most-commonly used surgical procedure...
متن کاملCarotid stenting for asymptomatic carotid stenosis: trial it.
Angioplasty and stenting should not be performed for patients with asymptomatic atherosclerotic carotid bifurcation stenosis, except in the context of randomized clinical trials. Surgical carotid endarterectomy (CEA) has been proven effective over medical therapy in select asymptomatic patient populations. The benefit in these patients is small and easily overcome by procedural complication rat...
متن کاملAsymptomatic carotid stenosis.
Asymptomatic Carotid Stenosis To the Editor: The recent publication of ACST confirmed the findings from a previous randomized controlled trial that carotid endarterectomy reduces the number of strokes in patients with asymptomatic carotid stenoses.1,2 These findings could be interpreted as a basis for screening for carotid artery stenoses and the widespread expansion of carotid interventions in...
متن کاملAsymptomatic carotid stenosis.
A 78-year-old woman, a retired primary school principal, was referred for a second opinion regarding a recommendation that she undergo stenting of a severe carotid stenosis. A bruit in the right carotid had led to a carotid ultrasound study and a diagnosis of 80% stenosis of the right internal carotid artery. This was confirmed by computed tomogra-phy angiography, which also showed moderate ste...
متن کاملCarotid endarterectomy for asymptomatic carotid stenosis.
BACKGROUND Carotid endarterectomy (CEA) is of proven benefit in recently-symptomatic patients with severe carotid stenosis. Its role in asymptomatic stenosis is still debated. The Asymptomatic Carotid Surgery Trial (ACST) more than doubled the number of patients randomised to CEA trials. This revised review incorporates the recently published ACST results. OBJECTIVES Our objective was to dete...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2012
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2012.05.055