Carotid stenosis and carotid endarterectomy.

I. Meissner, F. B. Meyer

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

This review focuses on the natural history of symptomatic and asymptomatic carotid stenosis and on the risk/benefit ratio of carotid endarterectomy. Five randomized trials for symptomatic stenosis and four trials for asymptomatic carotid occlusive disease are reviewed. Carotid endarterectomy has been proved effective in reducing stroke risk in symptomatic 70-99% stenosis. Conclusive results are still pending for moderate symptomatic stenosis and the asymptomatic lesion. Surgical controversies and techniques are discussed. Algorithms for management of symptomatic and asymptomatic stenosis are offered.

Original languageEnglish (US)
Pages (from-to)163-179
Number of pages17
JournalCerebrovascular and brain metabolism reviews
Volume6
Issue number2
StatePublished - Jan 1 1994

ASJC Scopus subject areas

  • Neuroscience(all)
  • Agricultural and Biological Sciences(all)
  • Psychiatry and Mental health

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