Management of asymptomatic carotid stenosis in patients undergoing general and vascular surgical procedures
Open Access
- 1 October 2005
- journal article
- review article
- Published by BMJ in Journal of Neurology, Neurosurgery & Psychiatry
- Vol. 76 (10) , 1332-1336
- https://doi.org/10.1136/jnnp.2005.066936
Abstract
Current available data do not seem to support the strategy for carotid endarterectomy prior to surgical intervention in patients with asymptomatic carotid stenosis. However, in patients with coronary artery disease, synchronous carotid endarterectomy and coronary artery bypass grafting should be considered where there is a proven surgical risk of 60% or bilateral carotid stenosis >75% on the same side as the most severe stenosis. Clarification of the optimal strategy requires an adequately powered, multicentre, randomised clinical trial.Keywords
This publication has 56 references indexed in Scilit:
- Effect of Treatment of Carotid Artery Stenosis on Blood PressureStroke, 2003
- Carotid artery stenting: analysis of data for 105 patients at high riskJournal of Vascular Surgery, 2003
- Cerebral Metabolism of Patients With Stenosis or Occlusion of the Internal Carotid ArteryStroke, 1995
- Guidelines for Carotid EndarterectomyStroke, 1995
- Carotid stenosis and perioperative stroke risk in symptomatic and asymptomatic patients undergoing vascular or coronary surgery.Stroke, 1993
- Vascular risks of asymptomatic carotid stenosis.Stroke, 1991
- Stroke Following Coronary-Artery Bypass SurgeryNew England Journal of Medicine, 1988
- Outcome in Patients with Asymptomatic Neck BruitsNew England Journal of Medicine, 1986
- Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of 421 patients.Stroke, 1983
- Carotid Bruit and the Risk of Stroke in Elective SurgeryNew England Journal of Medicine, 1982