Asymptomatic carotid disease and cardiac surgery consensus

The Carotid Disease and Cardiac Surgery Consensus Meeting was convened as a multidisciplinary gathering to consider the management of patients undergoing cardiac surgery who are found to have asymptomatic carotid artery disease. There are no randomized trials concerning whether carotid interventions...

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Hlavní autoři: Stansby, G, Macdonald, S, Allison, R, de Belder, M, Brown, M, Dark, J, Featherstone, R, Flather, M, Ford, G, Halliday, A, Malik, I, Naylor, R, Pepper, J, Rothwell, P
Médium: Journal article
Jazyk:English
Vydáno: Sage Publications 2011
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author Stansby, G
Macdonald, S
Allison, R
de Belder, M
Brown, M
Dark, J
Featherstone, R
Flather, M
Ford, G
Halliday, A
Malik, I
Naylor, R
Pepper, J
Rothwell, P
author_facet Stansby, G
Macdonald, S
Allison, R
de Belder, M
Brown, M
Dark, J
Featherstone, R
Flather, M
Ford, G
Halliday, A
Malik, I
Naylor, R
Pepper, J
Rothwell, P
author_sort Stansby, G
collection OXFORD
description The Carotid Disease and Cardiac Surgery Consensus Meeting was convened as a multidisciplinary gathering to consider the management of patients undergoing cardiac surgery who are found to have asymptomatic carotid artery disease. There are no randomized trials concerning whether carotid interventions are of value in this situation and the natural history is unclear. Bilateral carotid artery disease (≥70% stenosis) should be regarded clinically relevant when considering hemodynamic and short-term surgical stroke risk. However, this may be because the presence of significant carotid disease is also a marker for aortic arch and intracerebral disease. A natural history study is urgently needed to determine the incidence, predictive factors, and natural history of asymptomatic carotid disease in patients undergoing contemporary cardiac surgical interventions to inform the design of any future randomized trial.
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spelling oxford-uuid:40c557d3-5ad4-45d3-98eb-c1e4ecb0ce122022-03-26T14:39:48ZAsymptomatic carotid disease and cardiac surgery consensusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:40c557d3-5ad4-45d3-98eb-c1e4ecb0ce12EnglishSymplectic Elements at OxfordSage Publications2011Stansby, GMacdonald, SAllison, Rde Belder, MBrown, MDark, JFeatherstone, RFlather, MFord, GHalliday, AMalik, INaylor, RPepper, JRothwell, PThe Carotid Disease and Cardiac Surgery Consensus Meeting was convened as a multidisciplinary gathering to consider the management of patients undergoing cardiac surgery who are found to have asymptomatic carotid artery disease. There are no randomized trials concerning whether carotid interventions are of value in this situation and the natural history is unclear. Bilateral carotid artery disease (≥70% stenosis) should be regarded clinically relevant when considering hemodynamic and short-term surgical stroke risk. However, this may be because the presence of significant carotid disease is also a marker for aortic arch and intracerebral disease. A natural history study is urgently needed to determine the incidence, predictive factors, and natural history of asymptomatic carotid disease in patients undergoing contemporary cardiac surgical interventions to inform the design of any future randomized trial.
spellingShingle Stansby, G
Macdonald, S
Allison, R
de Belder, M
Brown, M
Dark, J
Featherstone, R
Flather, M
Ford, G
Halliday, A
Malik, I
Naylor, R
Pepper, J
Rothwell, P
Asymptomatic carotid disease and cardiac surgery consensus
title Asymptomatic carotid disease and cardiac surgery consensus
title_full Asymptomatic carotid disease and cardiac surgery consensus
title_fullStr Asymptomatic carotid disease and cardiac surgery consensus
title_full_unstemmed Asymptomatic carotid disease and cardiac surgery consensus
title_short Asymptomatic carotid disease and cardiac surgery consensus
title_sort asymptomatic carotid disease and cardiac surgery consensus
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