Patient preference in the management of asymptomatic carotid stenosis
نویسندگان
چکیده
منابع مشابه
Appropriate management of asymptomatic carotid stenosis
With modern intensive medical therapy, the annual risk of ipsilateral stroke in patients with asymptomatic carotid stenosis (ACS) is now down to ∼0.5%. Despite this, there is a widespread practice of routine intervention in ACS with carotid endarterectomy (CEA) and stenting (CAS). This is being justified on the basis of much higher risks with medical therapy in trials conducted decades ago, com...
متن کاملManagement of asymptomatic internal carotid artery stenosis.
Optimal management of patients with asymptomatic carotid artery stenosis remains unclear. Although 2 high-quality randomized clinical trials demonstrated reductions in ispsilateral stroke rates in patients without symptoms after carotid endarterectomy, medical therapy of asymptomatic carotid artery stenosis has reduced rates of stroke to approximately 1% per year, raising questions about the ge...
متن کاملAsymptomatic carotid stenosis: screening and management.
the management of asymptomatic carotid stenosis can be a dilemma to the primary care physician. In this review, we hope to update the reader on current insights into asymptomatic carotid atherosclerosis. Carotid stenosis is defined as the atherosclerotic narrowing of the proximal internal carotid artery exceeding 70% in severe cases and 50% in moderate cases. The prevalence of carotid stenosis ...
متن کاملCase of Asymptomatic Carotid Artery Stenosis in a Hypertensive Patient.
This is the case of a hypertensive patient with an asymptomatic carotid stenosis. This is a very common situation that neurologists have to manage. The case is a 75-year-old man with an history of hypertension for 10 years, treated with amlodipine, 5 mg once a day, and perindopril, 8 mg once a day. His hypertension was considered to be controlled. He was also treated for a hyperlipidemia for 5 ...
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...
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ژورنال
عنوان ژورنال: International Journal of Surgery
سال: 2011
ISSN: 1743-9191
DOI: 10.1016/j.ijsu.2011.07.066