Risk-Benefit Assessment of Carotid Revascularization
نویسندگان
چکیده
منابع مشابه
Carotid Revascularization: Carotid Endarterectomy
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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OBJECTIVE Robust guidelines exist for the treatment of carotid stenosis and intracranial aneurysms independently, however, the management of tandem carotid stenosis and intracranial aneurysms remains uncertain. Although the prevalence of tandem pathologies is small (1.9%-3.2%), treating carotid stenosis can alter intracranial hemodynamics potentially predisposing to aneurysm rupture. In this re...
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How much radiation does it take to cause our risk for an observable health effect to increase? Is there a level of radiation that is safe? How is radiation beneficial? The question of an effect occurring because of radiation exposure and the question of whether low‐ level radiation is safe are much‐debated topics. There are many thoughts on the answers to these questions, and suggested answers ...
متن کامل[Internal carotid artery revascularization].
Carotid endarterectomy remains the standard revascularization technique for the prevention of ischemic stroke resulting from severe carotid stenosis. Surgery is highly beneficial in patients with a symptomatic stenosis of 70% or greater that is not a total or near-total occlusion. The benefit becomes more diluted in patients with a symptomatic 50-69% stenosis, and surgery has no effect, or even...
متن کاملMeasuring Carotid Revascularization Quality.
Because US health care pivots from volume-based to valuebased strategies, there is growing emphasis on optimizing quality, safety, and appropriate utilization. Accordingly, to improve, we must be able to measure our performance. In this issue of Circulation: Cardiovascular Interventions, Kuehnl et al provide a timely publication, from the German national database, that informs our quest for the...
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ژورنال
عنوان ژورنال: Arquivos Brasileiros de Cardiologia
سال: 2018
ISSN: 0066-782X
DOI: 10.5935/abc.20180208