TY - JOUR
T1 - New strategies in the medical treatment of carotid artery disease
AU - Rajamani, Kumar
AU - Chaturvedi, Seemant
PY - 2008/4
Y1 - 2008/4
N2 - Most patients with ischemic stroke or transient ischemic attack are screened for internal carotid artery stenosis. Although it is important to identify candidates for endarterectomy or stenting, the clinician must realize that most patients are not candidates for revascularization. Therefore, medical therapy remains the corner-stone of treatment. In this article, current thinking on medical therapy for carotid atherosclerosis is outlined, including aggressive use of statins, targeted blood pressure lowering, and antithrombotic therapy. Implementation of these therapies will likely reduce the need for revascularization procedures in the future.
AB - Most patients with ischemic stroke or transient ischemic attack are screened for internal carotid artery stenosis. Although it is important to identify candidates for endarterectomy or stenting, the clinician must realize that most patients are not candidates for revascularization. Therefore, medical therapy remains the corner-stone of treatment. In this article, current thinking on medical therapy for carotid atherosclerosis is outlined, including aggressive use of statins, targeted blood pressure lowering, and antithrombotic therapy. Implementation of these therapies will likely reduce the need for revascularization procedures in the future.
UR - http://www.scopus.com/inward/record.url?scp=41749083304&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=41749083304&partnerID=8YFLogxK
U2 - 10.1007/s11936-008-0017-x
DO - 10.1007/s11936-008-0017-x
M3 - Review article
C2 - 18325318
AN - SCOPUS:41749083304
VL - 10
SP - 156
EP - 163
JO - Current Treatment Options in Cardiovascular Medicine
JF - Current Treatment Options in Cardiovascular Medicine
SN - 1092-8464
IS - 2
ER -