Letter by Naylor Regarding Article, “Urgent Best Medical Therapy May Obviate the Need for Urgent Surgery in Patients With Symptomatic Carotid Stenosis”
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Letter by Naylor regarding article, "Urgent best medical therapy may obviate the need for urgent surgery in patients with symptomatic carotid stenosis".
Letter by Naylor Regarding Article, “Urgent Best Medical Therapy May Obviate the Need for Urgent Surgery in Patients With Symptomatic Carotid Stenosis” To the Editor: Shahidi et al are to be congratulated for showing that delays to carotid endarterectomy can be reduced through reconfiguring services and that strokes might be prevented by starting dual antiplatelet therapy in the referring clini...
متن کاملResponse to letter regarding article, "Urgent best medical therapy may obviate the need for urgent surgery in patients with symptomatic carotid stenosis".
Response to Letter Regarding Article, “Urgent Best Medical Therapy May Obviate the Need for Urgent Surgery in Patients With Symptomatic Carotid Stenosis” We were delighted at the interest from Dr Naylor with regard to our study and appreciate his comments. We are in agreement as regards the need for minimizing delay from first neurological event to initiation of best medical therapy (BMT). That...
متن کاملUrgent best medical therapy may obviate the need for urgent surgery in patients with symptomatic carotid stenosis.
BACKGROUND AND PURPOSE The purpose of this study was to analyze the 30-day outcome after introduction of a rapid carotid endarterectomy (CEA) program. Reasons for delay in CEA and the incidence of early recurrence neurological symptoms were recorded. METHODS This is a prospective population-based study of delays to CEA and 30-day outcome in patients with symptomatic carotid stenosis. Neurolog...
متن کاملClopidogrel load for emboli reduction in patients with symptomatic carotid stenosis undergoing urgent carotid endarterectomy.
BACKGROUND AND PURPOSE Microembolic signals (MES) on transcranial Doppler are an independent risk factor for recurrent stroke in patients with extracranial symptomatic/asymptomatic carotid artery stenosis (CARAS). Clopidogrel load (300 mg) combined with dual antiplatelet therapy has been shown to reduce MES in patients with symptomatic CARAS. We sought to determine feasibility of clopidogrel lo...
متن کاملCombined carotid stenting and urgent coronary artery surgery in unstable angina patients with severe carotid stenosis.
Staged or combined carotid endarterectomy (CEA) offers the potential benefit of decreased neurological morbidity during and after cardiac surgery; however, the strategy for treating unstable high-risk patients, who need urgent coronary artery surgery, remains unresolved. We report in-hospital and 30-day outcomes of 23 consecutive patients admitted with unstable angina, who underwent carotid ang...
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ژورنال
عنوان ژورنال: Stroke
سال: 2013
ISSN: 0039-2499,1524-4628
DOI: 10.1161/strokeaha.113.003329