Medical and Surgical Management of Symptomatic and Asymptomatic Carotid Artery Stenosis: A Comprehensive Literature Review

被引:6
|
作者
Mohd, Ahmed B. [1 ]
Alabdallat, Yasmeen [1 ]
Mohd, Omar B. [1 ]
Ghannam, Reem A. [1 ]
Sawaqed, Seri [2 ]
Hasan, Hanan [3 ]
Ellebedy, Mohamed [4 ]
Turkmani, Khaled [5 ]
Al-Ezzi, Shakir [6 ]
机构
[1] Hashemite Univ, Fac Med, Zarqa, Jordan
[2] Hashemite Univ, Infect Dis, Fac Med, Zarqa, Jordan
[3] Lab Med Labs, Med Lab, Amman, Jordan
[4] Sohag Univ, Fac Med, Sohag, Egypt
[5] Syrian Private Univ, Fac Med, Daraa, Syria
[6] Hosp Corp Amer HCA Med City Arlington, Internal Med, Dallas, TX USA
关键词
best medical therapy; carotid endarterectomy (cea); carotid stenting; carotid artery stenosis; asymptomatic; symptomatic; TRANSIENT ISCHEMIC ATTACK; EARLY RECURRENT STROKE; INTRAPLAQUE HEMORRHAGE; HIGH-RESOLUTION; BRAIN-LESIONS; ENDARTERECTOMY; RISK; PLAQUE; ASSOCIATION; ASPIRIN;
D O I
10.7759/cureus.43263
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Carotid artery stenosis is a condition where the carotid artery is blocked by fatty cholesterol deposits called plaque, increasing the risk of stroke. Elderly individuals with high cardiovascular risk are more susceptible, along with smokers, those with high cholesterol, males, and older individuals. Young females may also be affected by fibromuscular dysplasia. Carotid stenosis significantly raises stroke risk, and the severity is closely linked to stroke incidence and other cardiovascular events. Early detection and treatment are essential to prevent complications. Treatment options include medical and surgical interventions, such as carotid endarterectomy (CEA) and carotid artery stenting (CAS). The choice between surgery and medical management varies depending on patient characteristics and risk factors. This review explores carotid artery stenosis pathophysiology, risk factors, the importance of early detection and treatment, and the surgical approaches of CEA and CAS, addressing their roles and controversies. Healthcare professionals must understand these aspects to provide optimal care to patients with this condition.
引用
收藏
页数:11
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