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Management of asymptomatic carotid stenosis in patients undergoing general and vascular surgical procedures

descriptionPublicationkeyboard_double_arrow_right Article 01 Oct 2005 English Publisher:BMJJournal:Journal of Neurology, Neurosurgery & Psychiatry, volume 76, pages 1,332-1,336 (issn: 0022-3050,

Authors: PACIARONI, Maurizio; CASO, Valeria; Acciarresi M.; Baumgartner R.; AGNELLI, Giancarlo;

doi: 10.1136/jnnp.2005.066936

pmid: 16170071

pmc: PMC1739358

handle: 11392/2577597 , 11391/25107

Management of asymptomatic carotid stenosis in patients undergoing general and vascular surgical procedures

- Summary
- Subjects
- Metrics

Abstract

Current available data do not seem to support the strategy for carotid endarterectomy prior to surgical intervention in patients with asymptomatic carotid stenosis. However, in patients with coronary artery disease, synchronous carotid endarterectomy and coronary artery bypass grafting should be considered where there is a proven surgical risk of 60% or bilateral carotid stenosis >75% on the same side as the most severe stenosis. Clarification of the optimal strategy requires an adequately powered, multicentre, randomised clinical trial.

Related Organizations

University of Perugia
Italy
University of Ferrara
Italy

Keywords

Male, Endarterectomy, Carotid, Coronary Artery Disease, Diagnosis, Differential, Predictive Value of Tests, Prevalence, Humans, Carotid Stenosis, Female, Coronary Artery Bypass, Aged, Ultrasonography

Impact byBIP!

	citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	19
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	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Top 10%
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Top 10%