Management of asymptomatic carotid stenosis in patients undergoing general and vascular surgical procedures. Issue 10 (16th September 2005)

• Record Type: Journal Article
• Authors: Paciaroni, M; Caso, V; Acciarresi, M; Baumgartner, R W; Agnelli, G
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 76:Issue 10(2005)
• Page Start: 1332
• Page End: 1336
• Publication Date: 2005-09-16
• Subjects: CABG, coronary artery bypass grafting -- CEA, carotid endarterectomy -- PAD, peripheral artery disease -- TIA, transient ischaemic attack; asymptomatic carotid stenosis -- stroke -- cardiac surgery -- non-cardiac surgery; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.2005.066936
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Current available data do not seem to support the strategy for carotid endarterectomy prior to surgical intervention in patients with asymptomatic carotid stenosis. However, in patients with coronary artery disease, synchronous carotid endarterectomy and coronary artery bypass grafting should be considered where there is a proven surgical risk of <3% with unilateral asymptomatic stenosis >60% or bilateral carotid stenosis >75% on the same side as the most severe stenosis. Clarification of the optimal strategy requires an adequately powered, multicentre, randomised clinical trial.