What is the current status of invasive treatment of extracranial carotid artery disease?
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 21659637.
- Also identified by DOI 10.1161/STROKEAHA.110.597708.
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Abstract
Year 2011 sees the publication of U.S. guidelines that recommend expanding indications for carotid artery stenting into "average-risk" patients, whereas guidelines from Australia/New Zealand largely do not. This article reviews the status of invasive treatment of carotid disease and highlights 2 controversial issues that were not really addressed in these guidelines: (1) a lack of emphasis on the importance of intervening rapidly after transient ischemic attack/minor stroke; and (2) why continue to recommend that only "highly selected" asymptomatic patients should undergo intervention when virtually no-one pays any attention?
Medical subject headings
- Cardiology
- Carotid Artery Diseases
- Endarterectomy, Carotid