Document Detail


NICE carotid artery stenting: a summary of the 2011 guidelines.
MedLine Citation:
PMID:  22128207     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Atherosclerotic disease of the carotid bifurcation is associated with an increased risk of both stroke and transient ischaemic attack. Carotid artery stenting (CAS) offers an alternative approach to carotid endarterectomy (CEA) in both symptomatic and asymptomatic individuals. The National Institute for Health and Clinical excellence (NICE) guidance for CAS in symptomatic subjects supports CAS with some caveats. The procedure should be carried out by an experienced clinical team with a good track record and there should be careful attention to audit and long-term follow-up. The case for CAS in asymptomatic carotid artery stenosis is not yet proved. For asymptomatic disease, NICE recommends that where CEA and CAS are clinically appropriate and technically feasible, patients should be randomised within the second Asymptomatic Carotid Surgery Trial (ACST-2).
Authors:
Simon K Neequaye; Alison W Halliday
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-29
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  -     ISSN:  1468-201X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
John Radcliffe Hospital, Oxford, UK.
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