Procedural benefit for asymptomatic carotid stenosis is wishful thinking
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 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...
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 کاملWishful Thinking
and we will write to you when there is a bed available yes I know it's painful, and six months is a long time to wait, but I am afraid we have already lost two wards this year because of the cuts. Mrs Thatcher keeps taking money away from us to spend on Trident Missiles Yes I wish you would write to your Member of Parliament about it. Hello Sister, is it tea time yet? Sister: Not yet I'm afraid...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2021
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2020.10.089