| Carotid endarterectomy and treatment options for carotid occlusive disease. | |
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MedLine Citation:
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PMID: 22182270 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Atherosclerotic stenosis of the extracranial internal carotid artery accounts for 15%-20% of ischemic strokes, depending on the population studied. Carotid endarterectomy (CEA) is the most frequently performed operation to prevent stroke. METHODS: Since the 1990s, several randomized controlled trials have been completed in which the authors analyzed the risks and benefits of the procedure for patients with symptomatic and asymptomatic stenosis of the internal carotid artery. Traditionally, CEA was compared with maximal medical therapy in its efficacy to prevent stroke and death; however, improvements in endovascular techniques have led to large studies in which the authors compared CEA with carotid angioplasty and stenting. CONCLUSION: In this review, we will discuss our current knowledge of the role of CEA in the prevention of stroke in symptomatic and asymptomatic patients with carotid stenosis and compare its use to medical therapy and carotid angioplasty and stenting. |
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Authors:
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Philipp Taussky; Jaypal Reddy Sangala; Fredric B Meyer |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World neurosurgery Volume: 76 ISSN: 1878-8750 ISO Abbreviation: World Neurosurg Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101528275 Medline TA: World Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: S35-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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