Asymptomatic carotid stenosis: intervention or best medical therapy?
Purpose of ReviewProvide a current overview regarding the optimal strategy for managing patients with asymptomatic carotid artery stenosis.Recent FindingsCarotid endarterectomy (CEA) and carotid artery stenting (CAS) reduce long-term stroke risk in asymptomatic patients. However, CAS is associated w...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
24 September 2018
|
| In: |
Current neurology and neuroscience reports
Year: 2018, Jahrgang: 18, Pages: 80 |
| ISSN: | 1534-6293 |
| DOI: | 10.1007/s11910-018-0888-5 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1007/s11910-018-0888-5
|
| Verfasserangaben: | Kamran Gaba, Peter A. Ringleb, Alison Halliday |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1670435628 | ||
| 003 | DE-627 | ||
| 005 | 20220816201915.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 190801s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s11910-018-0888-5 |2 doi | |
| 035 | |a (DE-627)1670435628 | ||
| 035 | |a (DE-599)KXP1670435628 | ||
| 035 | |a (OCoLC)1341235223 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Gaba, Kamran |e VerfasserIn |0 (DE-588)1191925145 |0 (DE-627)167043348X |4 aut | |
| 245 | 1 | 0 | |a Asymptomatic carotid stenosis |b intervention or best medical therapy? |c Kamran Gaba, Peter A. Ringleb, Alison Halliday |
| 264 | 1 | |c 24 September 2018 | |
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 01.08.2019 | ||
| 520 | |a Purpose of ReviewProvide a current overview regarding the optimal strategy for managing patients with asymptomatic carotid artery stenosis.Recent FindingsCarotid endarterectomy (CEA) and carotid artery stenting (CAS) reduce long-term stroke risk in asymptomatic patients. However, CAS is associated with a higher risk of peri-procedural stroke. Improvements in best medical therapy (BMT) have renewed uncertainty regarding the extent to which results from older randomised controlled trials (RCTs) comparing outcomes following carotid intervention can be generalised to modern medical practise.Summary‘Average surgical risk’ patients with an asymptomatic carotid artery stenosis of 60-99% and increased risk of late stroke should be considered for either CEA or CAS. In patients deemed ‘high risk’ for surgery, CAS is indicated. Use of an anti-platelet, anti-hypertensive and statin, with strict glycaemic control, is recommended. Results from ongoing large, multicentre RCTs comparing CEA, CAS and BMT will provide clarity regarding the optimal management of patients with asymptomatic carotid artery stenosis. | ||
| 650 | 4 | |a Asymptomatic | |
| 650 | 4 | |a Best medical therapy | |
| 650 | 4 | |a Carotid artery stenosis | |
| 650 | 4 | |a Carotid artery stenting | |
| 650 | 4 | |a Carotid endarterectomy | |
| 700 | 1 | |a Ringleb, Peter A. |e VerfasserIn |0 (DE-588)1032676175 |0 (DE-627)73863364X |0 (DE-576)172917743 |4 aut | |
| 700 | 1 | |a Halliday, Alison |e VerfasserIn |0 (DE-588)1191926311 |0 (DE-627)1670435040 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Current neurology and neuroscience reports |d Philadelphia, Pa. : Current Science Inc., 2001 |g 18(2018) Artikel-Nummer 80, 9 Seiten |h Online-Ressource |w (DE-627)35716833X |w (DE-600)2094171-7 |w (DE-576)306830663 |x 1534-6293 |7 nnas |a Asymptomatic carotid stenosis intervention or best medical therapy? |
| 773 | 1 | 8 | |g volume:18 |g year:2018 |g pages:80 |g extent:9 |a Asymptomatic carotid stenosis intervention or best medical therapy? |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s11910-018-0888-5 |x Verlag |x Resolving-System |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20190801 | ||
| 993 | |a Article | ||
| 994 | |a 2018 | ||
| 998 | |g 1032676175 |a Ringleb, Peter A. |m 1032676175:Ringleb, Peter A. |d 910000 |d 911100 |e 910000PR1032676175 |e 911100PR1032676175 |k 0/910000/ |k 1/910000/911100/ |p 2 | ||
| 999 | |a KXP-PPN1670435628 |e 3502432643 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"language":["eng"],"id":{"eki":["1670435628"],"doi":["10.1007/s11910-018-0888-5"]},"type":{"bibl":"article-journal","media":"Online-Ressource"},"origin":[{"dateIssuedDisp":"24 September 2018","dateIssuedKey":"2018"}],"person":[{"role":"aut","display":"Gaba, Kamran","family":"Gaba","given":"Kamran"},{"display":"Ringleb, Peter A.","family":"Ringleb","given":"Peter A.","role":"aut"},{"role":"aut","given":"Alison","display":"Halliday, Alison","family":"Halliday"}],"title":[{"title_sort":"Asymptomatic carotid stenosis","title":"Asymptomatic carotid stenosis","subtitle":"intervention or best medical therapy?"}],"physDesc":[{"extent":"9 S."}],"relHost":[{"disp":"Asymptomatic carotid stenosis intervention or best medical therapy?Current neurology and neuroscience reports","pubHistory":["1.2001 -"],"recId":"35716833X","note":["Fortsetzung der Druck-Ausgabe","Gesehen am 30.10.13"],"origin":[{"publisherPlace":"Philadelphia, Pa.","dateIssuedDisp":"2001-","publisher":"Current Science Inc.","dateIssuedKey":"2001"}],"type":{"media":"Online-Ressource","bibl":"periodical"},"id":{"eki":["35716833X"],"issn":["1534-6293"],"zdb":["2094171-7"]},"language":["eng"],"title":[{"title_sort":"Current neurology and neuroscience reports","title":"Current neurology and neuroscience reports"}],"physDesc":[{"extent":"Online-Ressource"}],"part":{"volume":"18","extent":"9","year":"2018","text":"18(2018) Artikel-Nummer 80, 9 Seiten","pages":"80"}}],"name":{"displayForm":["Kamran Gaba, Peter A. Ringleb, Alison Halliday"]},"recId":"1670435628","note":["Gesehen am 01.08.2019"]} | ||
| SRT | |a GABAKAMRANASYMPTOMAT2420 | ||