Update on surgical management for asymptomatic carotid stenosis

Margaret Walkup Arnold, Peter L. Faries

Research output: Contribution to journalArticle

Abstract

The management of asymptomatic carotid stenosis has been a topic of considerable debate. In this article, we aim to critically review the recent literature as it pertains to surgical management of asymptomatic carotid stenosis. We will explore the most recent trials looking at advancements in best medical therapy, as well as trials that compare traditional carotid endarterectomy to carotid stenting. In addition, we will review the current literature on surgical technique and perioperative risk management. Overall, our current recommendation is for surgical management of asymptomatic carotid disease for stenoses ≥ 80% in patients who are of reasonable perioperative risk.

Original languageEnglish (US)
Pages (from-to)24-29
Number of pages6
JournalCurrent Cardiology Reports
Volume13
Issue number1
DOIs
Publication statusPublished - Feb 2011

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Keywords

  • Asymptomatic carotid stenosis
  • Carotid endarterectomy
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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