Carotid endarterectomy for symptomatic carotid stenosis [PDF]
Severe narrowing (stenosis) of the carotid artery is an important cause of stroke. Surgical treatment (carotid endarterectomy) may reduce the risk of stroke, but carries a risk of operative complications.To determine the balance of benefit versus risk of endarterectomy plus best medical management compared with best medical management alone in patients
Rerkasem, K, Rothwell, P
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Computed poststenotic flow instabilities correlate phenotypically with vibrations measured using laser Doppler vibrometry : perspectives for a promising in vivo device for early detection of moderate and severe carotid stenosis [PDF]
Early detection of asymptomatic carotid stenosis is crucial for treatment planning in the prevention of ischemic stroke. Auscultation, the current first-line screening methodology, comes with severe limitations that create urge for novel and robust ...
Mancini, Viviana+3 more
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Measuring carotid stenosis [PDF]
Comparing a new test with a standard involves measuring disagreement. In the case of measuring carotid artery stenosis, some of the disagreement between different tests is because of inherent differences in how the stenosis is demonstrated (test characteristics). This is what we are most interested in when assessing a new technology.
P Humphrey, G Young
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Management of Asymptomatic Carotid Stenosis [PDF]
Patients with asymptomatic carotid stenosis (ACS) are at very high risk of coronary events, so they should all receive intensive medical therapy. What is often accepted as "best medical therapy" is usually suboptimal. Truly intensive medical therapy includes lifestyle modification, particularly smoking cessation and a Mediterranean diet.
J. David Spence, J. David Spence
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Length of carotid stenosis predicts peri-procedural stroke or death and restenosis in patients randomized to endovascular treatment or endarterectomy. [PDF]
BACKGROUND: The anatomy of carotid stenosis may influence the outcome of endovascular treatment or carotid endarterectomy. Whether anatomy favors one treatment over the other in terms of safety or efficacy has not been investigated in randomized trials.
Angus-Leppan, H.+154 more
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Carotid endarterectomy for asymptomatic carotid stenosis [PDF]
Carotid endarterectomy (CEA) is of proven benefit in recently-symptomatic patients with severe carotid stenosis. Its role in asymptomatic stenosis is still debated. The Asymptomatic Carotid Surgery Trial (ACST) more than doubled the number of patients randomised to CEA trials.
Brian R. Chambers, Geoffrey A. Donnan
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S-Nitrosoglutathione reduces asymptomatic embolization after carotid angioplasty [PDF]
Background: The major complication of carotid angioplasty is embolic stroke, which may occur after balloon inflation and deflation or in the early postintervention period.
Clifton, A.+4 more
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Hyperhomocysteinemia and recurrent carotid stenosis [PDF]
Hyperhomocysteinemia has been identified as a potential risk for atherosclerotic disease in epidemiologic studies. This study investigates the impact of elevated serum homocysteine on restenosis after carotid endarterectomy (CEA).In a retrospective study, we compared fasting plasma homocysteine levels of 51 patients who developed restenosis during an ...
Florian Liewald+3 more
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Predictive haemodynamics in a one-dimensional human carotid artery bifurcation. Part II: application to graft design [PDF]
A Bayesian surrogate modelling technique is proposed that may be able to predict an optimal bypass graft configuration for patients suffering with stenosis in the internal carotid artery (ICA). At the outset, this statistical technique is considered as a
Bressloff, N. W.+3 more
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Asymptomatic Carotid Stenosis [PDF]
Case Presentation: A 78-year-old woman, a retired primary school principal, was referred for a second opinion regarding a recommendation that she undergo stenting of a severe carotid stenosis. A bruit in the right carotid had led to a carotid ultrasound study and a diagnosis of 80% stenosis of the right internal carotid artery.
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