What Is the Current Status of Invasive Treatment of Extracranial Carotid Artery Disease?

Author:

Naylor A. Ross1

Affiliation:

1. From the Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, UK.

Abstract

Year 2011 sees the publication of US guidelines that recommend expanding indications for carotid artery stenting into “average-risk” patients, whereas guidelines from Australia/New Zealand largely do not. This article reviews the status of invasive treatment of carotid disease and highlights 2 controversial issues that were not really addressed in these guidelines: (1) a lack of emphasis on the importance of intervening rapidly after transient ischemic attack/minor stroke; and (2) why continue to recommend that only “highly selected” asymptomatic patients should undergo intervention when virtually no-one pays any attention?

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

Reference44 articles.

1. Department of Health & Human Services Summary of the Circulatory System Devices Panel Meeting ; January 26 2011. Available at: www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/MedicalDevices/MedicalDevicesAdvisoryCommittee/CirculatorySystemDevicesPanel/UCM241779.pdf. Accessed April 20 2011.

2. Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack

3. Guidelines for the Primary Prevention of Stroke

4. ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS. guideline on management of patients with extracranial carotid and vertebral artery disease;Brott TG;Stroke,2011

5. Stenting versus Endarterectomy for Treatment of Carotid-Artery Stenosis

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