Document Detail


Asymptomatic carotid artery stenosis--medical therapy alone versus medical therapy plus carotid endarterectomy or stenting.
MedLine Citation:
PMID:  20670781     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vascular surgery has matured to the point that there exists robust bodies of literature exploring many of our therapies. However, this evidence is but one of the factors that dictate medical practice. Others include local patient demographics, the practical implications of healthcare delivery, and an individual surgeon's interpretation of this evidence, which can be somewhat subjective. As a result, there are numerous examples of vascular specialists' practice patterns differing depending on their geographic location. Recognizing this, the Editors of the Journal of Vascular Surgery and the European Journal of Vascular and Endovascular Surgery have developed a series of Trans-Atlantic Debates to explore these instances. The inaugural debate explores the controversial question of how best to manage asymptomatic carotid artery stenoses. Our debators, Peter Schneider and Ross Naylor, offer reasoned and passionate arguments to defend their differing approaches. We trust that this addition to our journals will prove enlightening and, perhaps, entertaining.
Authors:
Peter A Schneider; A Ross Naylor
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-30     Completed Date:  2010-08-31     Revised Date:  2011-01-12    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  499-507     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Vascular Therapy, Kaiser Foundation Hospital, Honolulu, Hawaii 96819, USA. Peter.Schneider@kp.org
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / adverse effects,  instrumentation*
Cardiovascular Agents / adverse effects,  therapeutic use*
Carotid Stenosis / surgery,  therapy*
Combined Modality Therapy
Endarterectomy, Carotid* / adverse effects
Evidence-Based Medicine
Humans
Patient Selection*
Physician's Practice Patterns
Risk Assessment
Risk Factors
Severity of Illness Index
Stents*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Cardiovascular Agents
Comments/Corrections
Comment In:
J Vasc Surg. 2011 Jan;53(1):265; author reply 265   [PMID:  21184945 ]
J Vasc Surg. 2010 Aug;52(2):507   [PMID:  20670782 ]
Erratum In:
J Vasc Surg. 2010 Sep;52(3):823

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


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