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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Periodicità: Trimestrale

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2013 Giugno;20(2):49-60

LATEST INSIGHTS IN ENDOVASCULAR SURGERY 

Carotid revascularization – New insights and state of the debate

Zayed M. A., Zhou W.

Division of Vascular and Endovascular Surgery Department of Surgery, Stanford University Stanford, CA, USA

Carotid artery stenosis increases the risk of ischemic stroke. Accordingly, intensive investigation of methods used to diagnose, screen, treat, and monitor patients with carotid artery stenosis have led to advancements in the field. However, despite voluminous literature as well as significant strides in the management of patients with carotid artery stenosis, some ambiguities remain. In fact, recent major society guidelines have provided inconsistent, and sometimes conflicting, recommendations regarding specific topics on the management of carotid artery stenosis. Here we review five such topics that have recently been contested in the literature: 1) screening for carotid artery stenosis; 2) management of asymptomatic carotid artery stenosis; 3) role of CAS in management of symptomatic carotid artery stenosis; 4) timing of carotid revascularization in symptomatic patients; and 5) concurrent carotid and coronary artery revascularization.

lingua: Inglese


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