Selective Non-Operative and Delayed Management of Severe Asymptomatic Carotid Artery Stenosis

Management 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...

Operative versus nonoperative management of asymptomatic high-grade internal carotid artery stenosis: improved results with endarterectomy.

In a 4-year period, 129 asymptomatic high-grade (80-99%) internal carotid artery stenoses were identified in 115 patients. Because we previously demonstrated a strong relation between degree of carotid stenosis and subsequent development of ipsilateral related events (stroke, transient ischemic attack, and carotid occlusion), we changed our previous policy and began to offer carotid endarterect...

Screening for asymptomatic carotid artery stenosis.

The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to help clinicians, employers, policymakers, and others m...

Endarterectomy for asymptomatic carotid artery stenosis.

Asymptomatic 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 ...