Strategies for asymptomatic carotid artery stenosis

被引:2
|
作者
Doe, Christopher [1 ]
Jethwa, Pinakin R. [1 ]
Gandhi, Chirag D. [1 ,2 ]
Prestigiacomo, Charles J. [1 ,2 ,3 ]
机构
[1] Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Neurol Surg, Newark, NJ 07103 USA
[2] Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Radiol, Newark, NJ 07103 USA
[3] Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Neurol & Neurosci, Newark, NJ 07103 USA
关键词
asymptomatic carotid artery stenosis; treatment; endarterectomy; carotid stent; NATURAL-HISTORY; VASCULAR EVENTS; ENDARTERECTOMY; RISK; STROKE; DISEASE; BENEFIT; MICROEMBOLI; POPULATION; PREVALENCE;
D O I
10.3171/2011.9.FOCUS11206
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The treatment of asymptomatic carotid artery stenosis (ACAS) has continued to evolve for the past 3 decades. With rapidly advancing technology, the results of old trials have become obsolete. While there has been little change in the efficacy of carotid endarterectomy, there have been vast improvements in both medical management and carotid angioplasty with stenting. Finding the best therapy for a given patient can therefore be difficult. In this article, the authors review the current literature regarding treatment options for ACAS and the methods available for stratifying patients who would benefit from surgical versus medical treatment. (DOI: 10.3171/2011.9.FOCUS11206)
引用
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页数:9
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