| Indications for carotid artery surgery and stent: the role of carotid ultrasound. | |
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MedLine Citation:
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PMID: 18416996 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Carotid artery disease is the most frequently identified cause of ischemic stroke and is mostly due to atherosclerotic disease. Landmark trials have demonstrated that surgical intervention in cases of high-grade carotid stenosis can reduce the risk of subsequent stroke. Endovascular approaches continue to be evaluated in ongoing trials. Careful patient selection is critical if the potential benefits of carotid revascularization are to be realized. Ultrasound is a safe, accurate, readily available method to evaluate carotid artery disease. The degree of stenosis is the parameter most frequently used to make decisions about therapeutic approaches. Plaque characteristics may also be useful for identifying high-risk patients. Microembolic signals detected by transcranial Doppler ultrasound can identify cerebral embolization before or after carotid intervention. This review discusses the current clinical role of carotid ultrasound in the selection of patients for the two most frequently used carotid interventions: carotid endarterectomy or carotid angioplasty and stenting. |
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Authors:
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Yong Jae Kim; Charles H Tegeler |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current cardiology reports Volume: 10 ISSN: 1534-3170 ISO Abbreviation: Curr Cardiol Rep Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-04-17 Completed Date: 2008-06-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888969 Medline TA: Curr Cardiol Rep Country: United States |
Other Details:
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Languages: eng Pagination: 17-24 Citation Subset: IM |
Affiliation:
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Department of Neurology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1078, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty Carotid Arteries / surgery*, ultrasonography Carotid Artery Diseases / surgery Carotid Stenosis / surgery*, ultrasonography Endarterectomy, Carotid Humans Intracranial Embolism / surgery*, ultrasonography Mass Screening Stents* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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