; Cambria, Richard P. ; Comerota, Anthony J. ; Dardik, Alan ; Davies, Alun H. ; Eckstein, Hans-Henning ; Faggioli, Gianluca
; Fernandes e Fernandes, Jose ; Fraedrich, Gustav ; Geroulakos, George ; Gloviczki, Peter ; Golledge, Jonathan ; Gupta, Ajay ; Jezovnik, Mateja K. ; Kakkos, Stavros K. ; Katsiki, Niki
; Knoflach, Michael ; Eline Kooi, M.
; Lanza, Gaetano ; Lavenson, George S. ; Liapis, Christos D. ; Loftus, Ian M. ; Mansilha, Armando ; Millon, Antoine ; Nicolaides, Andrew N. ; Pini, Rodolfo ; Poredos, Pavel ; Proczka, Robert M. ; Ricco, Jean-Baptiste ; Riles, Thomas S. ; Ringleb, Peter Arthur ; Rundek, Tatjana ; Saba, Luca ; Schlachetzki, Felix ; Silvestrini, Mauro ; Spinelli, Francesco ; Stilo, Francesco
; Sultan, Sherif ; Suri, Jasjit S. ; Svetlikov, Alexei V. ; Zeebregts, Clark J. ; Chaturvedi, Seemant | Item type: | Article | ||||
|---|---|---|---|---|---|
| Journal or Publication Title: | Angiology | ||||
| Publisher: | SAGE Publications | ||||
| Place of Publication: | THOUSAND OAKS | ||||
| Volume: | 73 | ||||
| Number of Issue or Book Chapter: | 10 | ||||
| Page Range: | pp. 903-910 | ||||
| Date: | 2022 | ||||
| Institutions: | Medicine > Lehrstuhl für Neurologie | ||||
| Identification Number: |
| ||||
| Keywords: | TRANSCAROTID ARTERY REVASCULARIZATION; VASCULAR-SURGERY GUIDELINES; SMOKING-CESSATION RATES; FOLLOW-UP; ENDARTERECTOMY; DIAGNOSIS; SOCIETY; asymptomatic carotid stenosis; best medical treatment; stroke; carotid endarterectomy; carotid artery stenting; guidelines | ||||
| Dewey Decimal Classification: | 600 Technology > 610 Medical sciences Medicine | ||||
| Status: | Published | ||||
| Refereed: | Yes, this version has been refereed | ||||
| Created at the University of Regensburg: | Yes | ||||
| Item ID: | 57796 |
Abstract
Despite the publication of several national/international guidelines, the optimal management of patients with asymptomatic carotid stenosis (AsxCS) remains controversial. This article compares 3 recently released guidelines (the 2020 German-Austrian, the 2021 European Stroke Organization [ESO], and the 2021 Society for Vascular Surgery [SVS] guidelines) vs the 2017 European Society for Vascular ...

Abstract
Despite the publication of several national/international guidelines, the optimal management of patients with asymptomatic carotid stenosis (AsxCS) remains controversial. This article compares 3 recently released guidelines (the 2020 German-Austrian, the 2021 European Stroke Organization [ESO], and the 2021 Society for Vascular Surgery [SVS] guidelines) vs the 2017 European Society for Vascular Surgery (ESVS) guidelines regarding the optimal management of AsxCS patients. The 2017 ESVS guidelines defined specific imaging/clinical parameters that may identify patient subgroups at high future stroke risk and recommended that carotid endarterectomy (CEA) should or carotid artery stenting (CAS) may be considered for these individuals. The 2020 German-Austrian guidelines provided similar recommendations with the 2017 ESVS Guidelines. The 2021 ESO Guidelines also recommended CEA for AsxCS patients at high risk for stroke on best medical treatment (BMT), but recommended against routine use of CAS in these patients. Finally, the SVS guidelines provided a strong recommendation for CEA+BMT vs BMT alone for low-surgical risk patients with >70% AsxCS. Thus, the ESVS, German-Austrian, and ESO guidelines concurred that all AsxCS patients should receive risk factor modification and BMT, but CEA should or CAS may also be considered for certain AsxCS patient subgroups at high risk for future ipsilateral ischemic stroke.
Metadata last modified: 29 Feb 2024 13:02
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