Abstract
The majority of carotid revascularization procedures are done in patients without recent symptoms of cerebral ischemia (asymptomatic carotid stenosis). In previous studies from the past two decades, the stroke risk associated with asymptomatic carotid stenosis has been estimated to be 2-2.5% per year. Given the relatively benign nature of asymptomatic carotid stenosis, it has been proposed that confining revascularization to a limited, higher-risk subgroup is a sensible strategy. Evidence is accumulating that improved medical therapy has led to a lower risk of stroke in medically treated patients and that ultrasound methods can identify higher-risk patients. These developments are highlighted in this article.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 18-23 |
| Number of pages | 6 |
| Journal | Current Cardiology Reports |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 2011 |
| Externally published | Yes |
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Keywords
- Asymptomatic stenosis
- Carotid stenosis
- Statins
- Transcranial Doppler
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Intensive medical therapy for asymptomatic carotid artery stenosis. / Bhattacharya, Pratik; Chaturvedi, Seemant.
In: Current Cardiology Reports, Vol. 13, No. 1, 02.2011, p. 18-23.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intensive medical therapy for asymptomatic carotid artery stenosis
AU - Bhattacharya, Pratik
AU - Chaturvedi, Seemant
PY - 2011/2
Y1 - 2011/2
N2 - The majority of carotid revascularization procedures are done in patients without recent symptoms of cerebral ischemia (asymptomatic carotid stenosis). In previous studies from the past two decades, the stroke risk associated with asymptomatic carotid stenosis has been estimated to be 2-2.5% per year. Given the relatively benign nature of asymptomatic carotid stenosis, it has been proposed that confining revascularization to a limited, higher-risk subgroup is a sensible strategy. Evidence is accumulating that improved medical therapy has led to a lower risk of stroke in medically treated patients and that ultrasound methods can identify higher-risk patients. These developments are highlighted in this article.
AB - The majority of carotid revascularization procedures are done in patients without recent symptoms of cerebral ischemia (asymptomatic carotid stenosis). In previous studies from the past two decades, the stroke risk associated with asymptomatic carotid stenosis has been estimated to be 2-2.5% per year. Given the relatively benign nature of asymptomatic carotid stenosis, it has been proposed that confining revascularization to a limited, higher-risk subgroup is a sensible strategy. Evidence is accumulating that improved medical therapy has led to a lower risk of stroke in medically treated patients and that ultrasound methods can identify higher-risk patients. These developments are highlighted in this article.
KW - Asymptomatic stenosis
KW - Carotid stenosis
KW - Statins
KW - Transcranial Doppler
UR - http://www.scopus.com/inward/record.url?scp=79551554849&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79551554849&partnerID=8YFLogxK
U2 - 10.1007/s11886-010-0143-4
DO - 10.1007/s11886-010-0143-4
M3 - Article
C2 - 20927608
AN - SCOPUS:79551554849
VL - 13
SP - 18
EP - 23
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 1
ER -