Concerns Regarding Carotid Endarterectomy Guidelines
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Concerns regarding carotid endarterectomy guidelines.
Concerns Regarding Carotid Endarterectomy Guidelines To the Editor: We were surprised to read the rather unequivocal endorsement1 by the American Heart Association writing group of carotid endarterectomy (CE) for asymptomatic stenosis of greater than 60%. This position does not represent the viewpoint of all stroke neurologists or surgeons, and some professional groups have recently come to the...
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Hypertension Hypertension is the most powerful, prevalent, and treatable risk factor for stroke. Both systolic and diastolic blood pressure are independently related to stroke incidence. Isolated systolic hypertension, which is common in the elderly, also considerably increases risk of stroke. Reduction of elevated blood pressure significantly lowers risk of stroke. Meta-analyses of randomized ...
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There is much controversy in the literature regarding the precise role of patch angioplasty in carotid endarterectomy. Our report summarizes the theoretical and experimental considerations, including the hemodynamic effects and biologic behavior of the graft, associated with this technique. We present a detailed review of the literature regarding the clinical efficacy of patch angioplasty in ca...
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BACKGROUND AND PURPOSE Several authorities have recently advocated carotid stenting for recurrent carotid stenosis because of the perception that redo surgery has a higher complication rate than primary carotid endarterectomy (CEA). This study compares the early and late results of reoperations versus primary CEA. METHODS All reoperations for recurrent carotid stenosis performed during a rece...
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Carotid endarterectomy (CEA) is a procedure that has reliably decreased the risk of cerebrovascular events and death in patients with severe carotid stenosis. In this chapter, important concepts in the preoperative assessment of patients undergoing CEA will be reviewed. An overview of the clinical trials highlighting current indications will be provided, followed by a discussion of the surgical...
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ژورنال
عنوان ژورنال: Stroke
سال: 1998
ISSN: 0039-2499,1524-4628
DOI: 10.1161/01.str.29.7.1475