Document Detail


Adjunctive pharmacologic use in carotid endarterectomy: a review.
MedLine Citation:
PMID:  16956478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although carotid endarterectomy (CEA) is now widely accepted as the surgical therapy for carotid stenosis, the role of and indications and evidence for many pharmacologic agents that are used adjunctively in the perioperative setting have not been conclusively established. Aspirin (acetylsalicylic acid) is the pharmaceutical agent that has been studied most extensively in conjunction with CEA; other than aspirin and dextran, the use of many agents before, during, and after CEA has not been standardized. Prospective randomized trials are still needed to demonstrate efficacy, predict outcome, and determine the optimal use of these medications in their adjunctive use during CEA to improve patient care and obtain optimal surgical outcomes.
Authors:
David Gortler; Stephen Maloney; Reuben Rutland; Tormod Westvik; Akihito Muto; Fabio A Kudo; Alan Dardik
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular     Volume:  14     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-09-07     Completed Date:  2007-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  93-102     Citation Subset:  IM    
Affiliation:
VA Connecticut Healthcare System, West Haven, CT, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists
Anesthetics, Local
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Anticoagulants / therapeutic use
Aspirin / therapeutic use
Carotid Stenosis / drug therapy,  therapy*
Chemotherapy, Adjuvant
Endarterectomy, Carotid / methods*
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anesthetics, Local; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Anticoagulants; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 50-78-2/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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