Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over
The management of carotid artery stenosis reduces the risk of stroke and its related deaths. Management options include risk factor modification and medical therapy, carotid endarterectomy (CEA), and carotid artery stenting (CAS). Although several randomized controlled trials (RCTs), mostly conducte...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2011-02-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17545.pdf&manuscript_id=17545 |
| _version_ | 1831805768157888512 |
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| author | Hamidreza Goodarzynejad Seyed Ebrahim Kassaian |
| author_facet | Hamidreza Goodarzynejad Seyed Ebrahim Kassaian |
| author_sort | Hamidreza Goodarzynejad |
| collection | DOAJ |
| description | The management of carotid artery stenosis reduces the risk of stroke and its related deaths. Management options include risk factor modification and medical therapy, carotid endarterectomy (CEA), and carotid artery stenting (CAS). Although several randomized controlled trials (RCTs), mostly conducted in late-1980s and mid-1990s, have proved CEA to be effective in the prevention of ipsilateral ischemic events in selected patients with carotid artery stenosis, aggressive risk factor modification and medical therapy with recently introduced antiplatelet agents, statins, and more effective antihypertensive medications may have reduced compelling indications for immediate surgery in asymptomatic populations. Also recently, due to improvements in percutaneous techniques and carotid stents, CAS has received wide attention as a potential alternative to CEA. Herein, we review the recent data on the management options of carotid artery stenosis and seek to identify the most appropriate treatment strategy in selected patients with carotid artery stenosis. |
| first_indexed | 2024-12-22T19:30:37Z |
| format | Article |
| id | doaj.art-8191d0ed0f3447b59c9dc9493f4baa12 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 |
| language | English |
| last_indexed | 2024-12-22T19:30:37Z |
| publishDate | 2011-02-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-8191d0ed0f3447b59c9dc9493f4baa122022-12-21T18:15:07ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202011-02-0161113Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not OverHamidreza GoodarzynejadSeyed Ebrahim KassaianThe management of carotid artery stenosis reduces the risk of stroke and its related deaths. Management options include risk factor modification and medical therapy, carotid endarterectomy (CEA), and carotid artery stenting (CAS). Although several randomized controlled trials (RCTs), mostly conducted in late-1980s and mid-1990s, have proved CEA to be effective in the prevention of ipsilateral ischemic events in selected patients with carotid artery stenosis, aggressive risk factor modification and medical therapy with recently introduced antiplatelet agents, statins, and more effective antihypertensive medications may have reduced compelling indications for immediate surgery in asymptomatic populations. Also recently, due to improvements in percutaneous techniques and carotid stents, CAS has received wide attention as a potential alternative to CEA. Herein, we review the recent data on the management options of carotid artery stenosis and seek to identify the most appropriate treatment strategy in selected patients with carotid artery stenosis.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17545.pdf&manuscript_id=17545Carotid StenosisEndarterectomy- CarotidStroke |
| spellingShingle | Hamidreza Goodarzynejad Seyed Ebrahim Kassaian Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over Journal of Tehran University Heart Center Carotid Stenosis Endarterectomy- Carotid Stroke |
| title | Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over |
| title_full | Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over |
| title_fullStr | Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over |
| title_full_unstemmed | Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over |
| title_short | Carotid Artery Stenting, Endarterectomy, or Medical Treatment Alone: The Debate Is Not Over |
| title_sort | carotid artery stenting endarterectomy or medical treatment alone the debate is not over |
| topic | Carotid Stenosis Endarterectomy- Carotid Stroke |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17545.pdf&manuscript_id=17545 |
| work_keys_str_mv | AT hamidrezagoodarzynejad carotidarterystentingendarterectomyormedicaltreatmentalonethedebateisnotover AT seyedebrahimkassaian carotidarterystentingendarterectomyormedicaltreatmentalonethedebateisnotover |