| Carotid endarterectomy or carotid artery stenting? Matching the patient to the intervention. | |
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MedLine Citation:
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PMID: 20858617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Extracranial carotid disease accounts for approximately 25% of ischemic strokes. Although carotid endarterectomy (CEA) is the established gold standard for carotid revascularization, carotid artery angioplasty and stenting (CAS) is continually developing into a safer and more efficacious method of stroke prevention and has gained popularity as an alternative to CEA. Recent trials have reported clinical equipoise between CEA and CAS. There are certain patient characteristics that can increase the risk of adverse outcomes for both CEA and CAS. Proper patient selection is the key to successful outcomes when deciding the optimal treatment for carotid stenosis. Patients must be individualized, and a specific risk-benefit ratio must be formulated for CEA, CAS, and best-medical therapy (BMT). Ultimately, optimizing medical therapy and using CEA and CAS as complementary therapies rather than competing ones will likely achieve the best patient outcomes. |
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Authors:
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Joseph J Ricotta; Michele Piazza |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Perspectives in vascular surgery and endovascular therapy Volume: 22 ISSN: 1521-5768 ISO Abbreviation: Perspect Vasc Surg Endovasc Ther Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-09-22 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100970607 Medline TA: Perspect Vasc Surg Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 124-36 Citation Subset: IM |
Affiliation:
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Emory University School of Medicine Atlanta, GA, USA. joseph.ricotta@emoryhealthcare.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty
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adverse effects,
instrumentation* Carotid Stenosis / complications, surgery, therapy* Clinical Trials as Topic Endarterectomy, Carotid* / adverse effects Evidence-Based Medicine Humans Patient Selection* Risk Assessment Risk Factors Stents* Stroke / etiology, prevention & control Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Perspect Vasc Surg Endovasc Ther. 2010 Jun;22(2):137-8
[PMID:
20858618
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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