What should we do with asymptomatic carotid stenosis?

International Journal of Stroke : Official Journal of the International Stroke Society
Anne L AbbottBrian R Chambers

Abstract

The benefit of prophylactic carotid endarterectomy (CEA) for patients with asymptomatic severe carotid stenosis in the major randomised surgical studies was small, expensive and may now be absorbed by improvements in best practice medical intervention. Strategies to identify patients with high stroke risk are needed. If surgical intervention is to be considered the complication rates of individual surgeons should be available. Clinicians will differ in their interpretation of the same published data. Maintaining professional relationships with clinicians from different disciplines often involves compromise. As such, the management of a patient will, in part, depend on what kind of specialist the patient is referred to. The clinician's discussion with patients about this complex issue must be flexible to accommodate differing patient expectations. Ideally, patients prepared to undergo surgical procedures should be monitored in a trial setting or as part of an audited review process to increase our understanding of current practice outcomes.

References

Sep 1, 1977·Stroke; a Journal of Cerebral Circulation·J D Easton, D G Sherman
Dec 1, 1992·Stroke; a Journal of Cerebral Circulation·P PratiP J Touboul
Jan 1, 1992·European Journal of Vascular Surgery·G D ShanikM P Colgan
Apr 1, 1992·Stroke; a Journal of Cerebral Circulation·J W Norris, C Z Zhu
Nov 1, 1991·Stroke; a Journal of Cerebral Circulation·W S MooreJ F Toole
Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Dec 1, 1991·Stroke; a Journal of Cerebral Circulation·J W NorrisB R Chambers
Jan 1, 1990·Ultrasound in Medicine & Biology·B WidderJ Vollmar
Jul 1, 1990·Stroke; a Journal of Cerebral Circulation·D O WiebersW M O'Fallon
Jan 14, 1989·BMJ : British Medical Journal·P A SandercockI R Starkey
Apr 1, 1989·Archives of Neurology·T J IngallW M O'Fallon
Mar 1, 1989·Stroke; a Journal of Cerebral Circulation·M S DennisC P Warlow
May 30, 1987·British Medical Journal·P Sandercock
Mar 24, 1988·The New England Journal of Medicine·C M WinslowR H Brook
Sep 1, 1988·Stroke; a Journal of Cerebral Circulation·J BogousslavskyF Regli
May 1, 1986·Stroke; a Journal of Cerebral Circulation·N C FodeC B Shields
Oct 2, 1986·The New England Journal of Medicine·B R Chambers, J W Norris
May 16, 1986·JAMA : the Journal of the American Medical Association·T G BrottR F Kempczinski
May 1, 1985·Neurology·B R Chambers, J W Norris
Sep 1, 1985·Archives of Surgery·J M JohnsonA Sparrow
Mar 1, 1986·Journal of Vascular Surgery·R BerguerG T Hodakowski
Apr 1, 1985·The British Journal of Surgery·M P ColganD G Shanik
May 1, 1985·Archives of Internal Medicine·N R HertzerL C Maljovec
Jul 1, 1984·Stroke; a Journal of Cerebral Circulation·G O RoedererD E Strandness
Nov 1, 1984·Stroke; a Journal of Cerebral Circulation·B R Chambers, J W Norris
Feb 1, 1983·Australian and New Zealand Journal of Medicine·B R ChambersP F Bladin
Nov 1, 1983·Stroke; a Journal of Cerebral Circulation·B C EikelboomA M Imparato
Jul 1, 1981·AJR. American Journal of Roentgenology·W J Zwiebel, A B Crummy
Apr 10, 1981·JAMA : the Journal of the American Medical Association·P A WolfP McNamara
Dec 16, 1995·Lancet·P Rothwell, C Warlow
Jul 1, 1995·The Australian and New Zealand Journal of Surgery·M I PatelM Appleberg
Aug 21, 1995·The Medical Journal of Australia·G J Hankey

❮ Previous
Next ❯

Citations

Jan 26, 2010·Journal of Neurology·Nancy C LandgraffHoward Yonas
Apr 12, 2008·The New England Journal of Medicine·Cathy A SilaG Patrick Clagett
Oct 12, 2010·Current Cardiology Reports·Pratik Bhattacharya, Seemant Chaturvedi
Dec 14, 2011·Expert Review of Cardiovascular Therapy·Andrew J DegnanJonathan H Gillard
Mar 17, 2011·Scandinavian Cardiovascular Journal : SCJ·Ieva NorkienėKotryna Paulauskiene
Jul 2, 2011·Seminars in Vascular Surgery·Caron Rockman, Shang Loh
Sep 30, 2010·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Hiroshi YamauchiHidenao Fukuyama
Nov 26, 2008·Neurologic Clinics·Peter M Rothwell
Sep 6, 2008·Revue neurologique·E Touzé
Jun 21, 2008·Seminars in Vascular Surgery·A Ross Naylor, Peter R F Bell
Sep 22, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·UNKNOWN ACES Investigators
Jan 15, 2008·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Marjolein de WeerdMichiel Bots
Jul 21, 2015·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·A L Abbott
Jul 27, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P A Schneider, A R Naylor
Apr 18, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G W van LammerenG J de Borst
Sep 6, 2011·Journal of Vascular Surgery·John J RicottaUNKNOWN Society for Vascular Surgery
Mar 8, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A L Abbott, G A Donnan
Apr 7, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP M Rothwell
Apr 28, 2012·Journal of the American College of Cardiology·Konstantinos ToutouzasChristodoulos Stefanadis
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hye Seon JeongJei Kim
Nov 22, 2007·Nature Clinical Practice. Neurology·Anne Abbott
Jul 6, 2014·Stroke; a Journal of Cerebral Circulation·Marjolein de WeerdMichiel L Bots
Nov 20, 2014·Stroke; a Journal of Cerebral Circulation·Anne L Abbott, Andrew N Nicolaides
Nov 15, 2011·Arteriosclerosis, Thrombosis, and Vascular Biology·Guillaume TurcUNKNOWN HIRISC study investigators
Oct 10, 2015·Stroke; a Journal of Cerebral Circulation·Anne L AbbottPeter Ringleb
Mar 27, 2010·Stroke; a Journal of Cerebral Circulation·Karen WooRalph B Dilley
Apr 20, 2019·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·T HisamatsuUNKNOWN Shiga Epidemiological Study of Subclinical Atherosclerosis (SESSA) Research Group
May 31, 2012·Qualitative Health Research·Ashlee-Ann E PigfordGeoff D C Ball
May 28, 2019·Journal of Neurosurgery·Jack J HaslettChristopher P Kellner
Oct 22, 2019·Frontiers in Neurology·Ahmed Mohamed ElhfnawyFelix Fluri
Oct 31, 2018·Texas Heart Institute Journal·Michael J McArdleZvonimir Krajcer
Jun 6, 2020·Annals of Vascular Surgery·Samuel LeeAlfio Carroccio

❮ Previous
Next ❯

Methods Mentioned

BETA
imaging techniques

Software Mentioned

VACS
ACAS

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

© 2022 Meta ULC. All rights reserved