Aterosclerosis Carotidea: Una Causa Frecuente Pero Prevenible de Ictus Isquémico

Translated title of the contribution: Carotid atherosclerosis: A common but preventable cause of ischemic stroke

Victor J. Del Brutto, Faddi Saleh-Velez

Research output: Contribution to journalArticlepeer-review

Abstract

Carotid atherosclerosis is responsible for 10-20% of all ischemic strokes and is characterized by a high risk of stroke recurrence, as well as by its preventable nature through the control of vascular risk factors, intensive medical management, and surgical revascularization in cases of severe stenosis. Pivotal studies in the 90's showed significant benefit of carotid endarterectomy in patients with severe symptomatic carotid stenosis (>70%), whereas the benefit in patients with moderate stenosis (50-69%) and those with asymptomatic disease was modest. Active areas of research in the field include the identification of novel nontraditional risk factors directed to the early diagnosis and primary prevention of carotid atherosclerosis, the efficacy of intensive medical management to decrease to the risk of stroke among patients with asymptomatic disease, and the development of new surgical revascularization techniques with lower complication rates. Through this revision manuscript we aim to summarize the current knowledge on carotid atherosclerosis and expose a practical approach for its diagnosis and treatment.

Translated title of the contributionCarotid atherosclerosis: A common but preventable cause of ischemic stroke
Original languageSpanish
Pages (from-to)174-184
Number of pages11
JournalRevista Ecuatoriana de Neurologia
Volume30
Issue number1
DOIs
StatePublished - 2021

Keywords

  • Carotid atherosclerosis
  • Carotid stenosis
  • En darterectomy
  • Ischemic stroke

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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