Abstract:
INTRODUCTION:Asymptomatic carotid artery stenosis (ACAS) may cause future stroke and therefore patients with ACAS require best medical treatment. Patients at high risk for stroke may opt for additional revascularization (either surgery or stenting) but the future stroke risk should outweigh the risk for peri/post-operative stroke/death. Current risk stratification for patients with ACAS is largely based on outdated randomized-controlled trials that lack the integration of improved medical therapies and risk factor control. Furthermore, recent circulating and imaging biomarkers for stroke have never been included in a risk stratification model. The TAXINOMISIS Project aims to develop a new risk stratification model for cerebrovascular complications in patients with ACAS and this will be tested through a prospective observational multicentre clinical trial performed in six major European vascular surgery centres. METHODS AND ANALYSIS:The risk stratification model will compromise clinical, circulating, plaque and imaging biomarkers. The prospective multicentre observational study will include 300 patients with 50%-99% ACAS. The primary endpoint is the three-year incidence of cerebrovascular complications. Biomarkers will be retrieved from plasma samples, brain MRI, carotid MRA and duplex ultrasound. The TAXINOMISIS Project will serve as a platform for the development of new computer tools that assess plaque progression based on radiology images and a lab-on-chip with genetic variants that could predict medication response in individual patients. CONCLUSION:Results from the TAXINOMISIS study could potentially improve future risk stratification in patients with ACAS to assist personalized evidence-based treatment decision-making.
journal_name
Eur J Clin Investjournal_title
European journal of clinical investigationauthors
Timmerman N,Galyfos G,Sigala F,Thanopoulou K,de Borst GJ,Davidovic L,Eckstein HH,Filipovic N,Grugni R,Kallmayer M,de Kleijn DPV,Koncar I,Mantzaris MD,Marchal E,Matsagkas M,Mutavdzic P,Palombo D,Pasterkamp G,Potsika VTdoi
10.1111/eci.13411subject
Has Abstractpub_date
2020-12-01 00:00:00pages
e13411issue
12eissn
0014-2972issn
1365-2362journal_volume
50pub_type
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journal_title:European journal of clinical investigation
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