Asymptomatic carotid stenosis: mainly a medical condition.

Abstract:

:At present approximately 70% of carotid endarterectomy and stenting in the United States is being performed for asymptomatic carotid stenosis (ACS). This is based on historical risks of ACS that no longer pertain in the era of intensive medical therapy with statins and other therapies. In the past, the surgical risk of 3% in clinical trials was marginally better than medical therapy for male patients with ACS; however, this is no longer the case. Even in the past, women with ACS did not benefit from endarterectomy. Except for patients with microemboli on transcranial Doppler (who have a 2-year risk of stroke of approximately 14%), the 2-year risk of stroke in ACS is now 1% or less. Endarterectomy or stenting should be reserved for the < 5% of patients with microemboli on transcranial Doppler ultrasonography. In future, 3 dimensional ultrasound detection of ulceration, and magnetic resonance imaging of vulnerable plaque may provide additional approaches to identifying those patients with ACS who may benefit from endarterectomy or stenting. Routine endarterectomy or stenting for patients with ACS should now be regarded as inappropriate.

journal_name

Vascular

journal_title

Vascular

authors

Spence JD

doi

10.2310/6670.2010.00023

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

123-6; discussion 127-9

issue

3

eissn

1708-5381

issn

1708-539X

journal_volume

18

pub_type

杂志文章

相关文献

Vascular文献大全
  • Buerger's disease in the northeast of Iran: Epidemiology and clinical features.

    abstract:BACKGROUND:The aim of this study is to present our long-term clinical experience in describing a clinical picture of Buerger's disease in our region. MATERIALS AND METHODS:In a retrospective study, files of 225 patients who were admitted to the hospital with diagnosis of thromboangiitis obliterans in a 10 year period ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114552838

    authors: Modaghegh MH,Kazemzadeh GH,Ravari H,Johari HG,Barzanuni A

    更新日期:2015-10-01 00:00:00

  • Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease.

    abstract::The aim of this study was to evaluate middle-term clinical results of robot-assisted laparoscopic surgery (RALS) to treat aortoiliac occlusive disease (AIOD). Between 2002 and 2007, 28 consecutive patients received robot-assisted laparoscopic aortobifemoral bypass grafting (n = 24) or aortoiliac endarterectomy (n = 4)...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/vasc.2010.oa0249

    authors: Jongkind V,Diks J,Yeung KK,Cuesta MA,Wisselink W

    更新日期:2011-02-01 00:00:00

  • General outcomes and risk factors for minor and major amputations in Brazil.

    abstract::Objectives Major and minor amputations are associated with significant rates of mortality. However, little is known about the impact of unplanned redo-amputation during the same hospitalization on outcomes. The objectives of this study were to identify the risk factors associated with in-hospital mortality after both ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538117736677

    authors: Leite JO,Costa LO,Fonseca WM,Souza DU,Goncalves BC,Gomes GB,Cruz LA,Nister N Jr,Navarro TP,Bath J,Dardik A

    更新日期:2018-06-01 00:00:00

  • Perioperative cardiovascular complications rate and activity of coagulation and fibrinolysis among patients undergoing vascular surgery for peripheral artery disease and abdominal aortic aneurysm.

    abstract:OBJECTIVES:To compare preoperative coagulation and fibrinolysis activity and incidence of perioperative complications between patients undergoing vascular procedures for peripheral artery disease and abdominal aortic aneurysm. METHODS:This is a substudy of a prospective observational cohort study (VISION; NCT00512109)...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120937127

    authors: Polok K,Górka J,Fronczek J,Iwaniec T,Górka K,Szczeklik W

    更新日期:2020-06-29 00:00:00

  • Treatment of aortic graft infection by in situ reconstruction with Omniflow II biosynthetic prosthesis.

    abstract::Currently available conduits for in situ reconstruction after excision of infected aortic grafts have significant limitations. The Omniflow II vascular prosthesis is a biosynthetic graft associated with a low incidence of infection that has succesfully been used in the treatment of infected infrainguinal bypass. We re...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115621195

    authors: Krasznai AG,Snoeijs M,Siroen MP,Sigterman T,Korsten A,Moll FL,Bouwman LH

    更新日期:2016-12-01 00:00:00

  • Clinical outcomes of extended endovascular recanalization of 16 consecutive Buerger's disease patients.

    abstract:OBJECTIVE:Buerger's disease is one of the worst diseases causing peripheral artery occlusions (especially lower extremity) with increased morbidity and mortality. Endovascular treatment of the diseased arteries gains preference over bypass surgery nowadays. Here, we aimed to present the clinical outcomes of 16 consecut...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118805623

    authors: Kacmaz F,Kaya A,Keskin M,Keceoglu S,Algin IH,Yilmazkaya B,Ilkay E

    更新日期:2019-06-01 00:00:00

  • Combined percutaneous endovascular iliac angioplasty and infrainguinal surgical revascularization for chronic lower extremity ischemia: preliminary result.

    abstract::The purpose of this study was to evaluate the efficacy of combined ipsilateral percutaneous iliac angioplasty and open infrainguinal surgical techniques for the treatment of patients with multilevel arterial occlusive disease. Combining two types of approaches in the peripheral vascular field is a less aggressive tech...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2010.00007

    authors: Mousa A,Abdel-Hamid M,Ewida A,Saad M,Sahrabi A

    更新日期:2010-03-01 00:00:00

  • Complications of diagnostic arteriography performed by a vascular surgeon in a recent series of 558 patients.

    abstract::This article analyzes the complication rates of diagnostic arteriographies performed by a single vascular surgeon and compares them to those previously published by interventional radiologists. Five hundred fifty-eight consecutive patients who underwent diagnostic arteriographies were analyzed. A modification of one s...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2007.00022

    authors: AbuRahma AF,Elmore M,Deel J,Mullins B,Hayes J

    更新日期:2007-03-01 00:00:00

  • Inferior vena cava aneurysm.

    abstract::Aneurysms of the inferior vena cava (IVC) are exceedingly rare; less than 50 cases have been reported in the world literature. Owing to the paucity of data regarding the natural history of IVC aneurysms, there is no consensus on their treatment. This case report describes the evaluation of an IVC aneurysm in a 56-year...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.2310/6670.2009.00020

    authors: Woo K,Cook P,Saeed M,Dilley R

    更新日期:2009-09-01 00:00:00

  • The different scenarios of urgent carotid revascularization for crescendo and single transient ischemic attack.

    abstract:OBJECTIVE:Carotid stenosis with crescendo-transient-ischemic-attack (cTIA) requires a prompt intervention to reduce the stroke risk. Few data are reported in literature about cTIA suggesting a different perioperative risk compared with patients with single TIA (sTIA). This study aimed to compare the outcome of carotid ...

    journal_title:Vascular

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1708538118799225

    authors: Pini R,Faggioli G,Gargiulo M,Gallitto E,Cacioppa LM,Vacirca A,Pisano E,Pilato A,Stella A

    更新日期:2019-02-01 00:00:00

  • Outcomes of endosutured aneurysm repair with the Heli-FX EndoAnchor implants.

    abstract:OBJECTIVE:Endovascular aneurysm repair has gained field over open surgery for the treatment of abdominal aortic aneurysm. However, type Ia endoleak represents a common complication especially in hostile neck anatomy that is recently faced using endoanchors. We conducted a systematic review and meta-analysis to collect ...

    journal_title:Vascular

    pub_type: 杂志文章,meta分析

    doi:10.1177/1708538120923417

    authors: Karaolanis G,Antonopoulos CN,Koutsias S,Antoniou GA,Beropoulis E,Torsello G,Taneva GT,Donas KP

    更新日期:2020-10-01 00:00:00

  • A rare cause of massive haematuria: Internal iliac artery-ureteric fistula.

    abstract::Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascu...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538114538623

    authors: Rao AM,Khalil A,Suttie S

    更新日期:2015-04-01 00:00:00

  • Clinical validation of 2D perfusion angiography using Syngo iFlow software during peripheral arterial interventions.

    abstract:OBJECTIVE:Endovascular surgery is an important treatment modality in peripheral arterial disease. Digital subtraction angiography is the standard post revascularisation diagnostic tool to locate lesions and to evaluate the effect of an intervention. However, interpretation of digital subtraction angiography images is s...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120957480

    authors: Verschuur AS,Groot Jebbink E,Lo-A-Njoe PE,van Weel V

    更新日期:2020-09-21 00:00:00

  • Supply and demand: Will we have enough vascular surgeons by 2030?

    abstract::The increase in prevalence of certain cardiovascular risk factors increases susceptibility to vascular disease, which may create demand for surgical intervention. In our study, data collected by the American Association of Medical Colleges Physician Specialty Databook of 2012, the United States Census Bureau, and othe...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115596652

    authors: Williams K,Schneider B,Lajos P,Marin M,Faries P

    更新日期:2016-08-01 00:00:00

  • Modified distal revascularization with interval ligation procedure for steal syndrome after arteriovenous fistula creation for hemodialysis access.

    abstract::Patients diagnosed with steal syndrome after hemodialysis access surgery have a few options for symptom relief while maintaining vascular access. These include fistula lengthening, banding, distal revascularization with interval ligation (DRIL), revision using distal inflow (RUDI) or proximalization of the arterial in...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.2310/6670.2007.00047

    authors: van der Meer S,Zeebregts C,Tielliu I,Verhoeven E,van den Dungen J

    更新日期:2007-07-01 00:00:00

  • Heparin-induced thrombocytopenia: diagnosis and management.

    abstract::Heparin is the predominant anticoagulant used in cardiac and vascular surgery. Heparin-induced thrombocytopenia (HIT) is one of the most serious and life-threatening adverse drug reactions associated with heparin use. In addition to the development of thrombocytopenia, HIT is associated with a high risk (40-50%) of th...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:

    authors: Liebman HA

    更新日期:2008-03-01 00:00:00

  • A rare complication of radial artery catheterization.

    abstract::An arterial pseudoaneurysm is a cavity which does not consist of three layers of arterial wall and is generally seen at femoral and radial artery sites due to bone fractures, arterial injuries and iatrogenic reasons such as catheterization. The treatment choice may be either surgical or conservative. Patients with pse...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/vasc.2010.cr0238

    authors: Inan MB,Acikgoz B,Yazicioglu L,Kaya B,Ozyurda U

    更新日期:2011-06-01 00:00:00

  • A proof-of-concept study of the VeinScrew: A new percutaneous venous closure device.

    abstract::Objective This study evaluated the concept of percutaneous closure of insufficient veins using the VeinScrew principle. Methods The VeinScrew is designed to place a spring-shaped implant that contracts and clamps around the vein. The ability of the device to occlude adequately was tested in a bench model experiment. T...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538116644117

    authors: Boersma D,de Borst GJ,Moll FL

    更新日期:2017-02-01 00:00:00

  • Effects of a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan Province, China.

    abstract::Survivors of ischemic stroke are still at a significant risk for recurrence. Antiplatelet agents are the treatment of first choice for long-term secondary prevention of vascular events. This study aims to assess a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients i...

    journal_title:Vascular

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/1708538116666159

    authors: Su Q,Li C,Long F,Chen B,Wan Z,Wu Y,Dai M,Wang D,Zhang Y,Wang B

    更新日期:2017-06-01 00:00:00

  • Clinical implications of power Doppler three-dimensional ultrasonography.

    abstract::Power Doppler ultrasonography displays an estimate of the entire power contained in that part of the received radiofrequency ultrasound signal for which a phase shift corresponding to the motion of the target is detected. In contrast, conventional color Doppler imaging displays Doppler frequency shift information. Few...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/rsmvasc.12.5.293

    authors: AbuRahma AF,Jarrett K,Hayes DJ

    更新日期:2004-09-01 00:00:00

  • Transradial interventions in contemporary vascular surgery practice.

    abstract:OBJECTIVES:Upper extremity arterial access is often required for endovascular procedures, especially for antegrade access to the visceral aortic branches. Radial arterial access has been shown previously to have low complication rates, and patients tolerate the procedure well and are able to recover quickly. However, t...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538118797556

    authors: Stern JR,Elmously A,Smith MC,Connolly PH,Meltzer AJ,Schneider DB,Ellozy SH

    更新日期:2019-02-01 00:00:00

  • Analysis of risk factors and diseases associated with atherosclerosis in the progression of carotid artery stenosis.

    abstract:OBJECTIVE:The objective of this study was to analyze the roles of demographic, clinical, and laboratory factors on the progression of atherosclerotic stenosis in carotid bifurcation. It was based on prospective information from records entered on a specific application form for follow-up outpatients at a tertiary unive...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538115571404

    authors: Batagini NC,da Silva ES,Pinto CA,Puech-Leão P,de Luccia N

    更新日期:2016-02-01 00:00:00

  • Immediate surgery for acute internal carotid artery dissection and thrombosis during filter deployment prior to stenting: a case report.

    abstract::Carotid artery stenting (CAS) is a validated option in the treatment of selected extracranial carotid artery stenosis. Carotid artery dissection during CAS is a rare but potentially devastating complication. We report a case of acute dissection and thrombosis of the left internal carotid artery during filter tip wire ...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538113478774

    authors: Tolva V,Bertoni GB,Bianchi PG,Keller GC,Casana R

    更新日期:2013-08-01 00:00:00

  • Safety and efficacy study of the wound care 360° SiteSeal® vascular closure device in percutaneous cardiac catheterization procedures.

    abstract:OBJECTIVES:Vascular access site complications after percutaneous transfemoral cardiovascular procedures remain a common cause of morbidity and mortality. We evaluated the SiteSeal® VCD for achieving hemostasis following diagnostic cardiac catheterization. METHODS:We conducted a prospective case control single center s...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120934573

    authors: Sharma S,Patel N,Jeevanantham V,Gupta K,Earnest MB

    更新日期:2020-07-27 00:00:00

  • Predictors of diffuse renal microembolization following endovascular repair of abdominal aortic aneurysms.

    abstract::We evaluated the incidence, risk factors, and clinical consequences of renal microembolic events following endovascular aneurysm repair using suprarenal or infrarenal fixation. Pre- and postoperative (1 month) computed tomographic angiograms were reviewed for new renal perfusion defects. Suprarenal aortic and infraren...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2007.00006

    authors: Boules TN,Stanziale SF,Chomic A,Selzer F,Tublin ME,Makaroun MS

    更新日期:2007-01-01 00:00:00

  • Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction.

    abstract:OBJECTIVES:Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or no-show patients the day of surgery led to several surgery cancella...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1177/1708538120930470

    authors: Colucci N,Gregoris A,Meyer J,Naiken SP,Staszewicz W,Gialamas E,Toso C,Abbassi Z

    更新日期:2020-12-01 00:00:00

  • Coiling of the brachial artery: an uncommon cause of difficult thrombectomy.

    abstract::Coiling (or looping) of the artery is a rare morphologic entity, most frequently described in the internal carotid artery. In other arteries, coiling is rarely reported because it remains asymptomatic and without clinical relevance unless inadvertently injured, as for diagnostic or monitoring purposes. We present a ca...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.1258/rsmvasc.13.4.248

    authors: Ilijevski NS,Jagodic S,Sagic D,Radak D

    更新日期:2005-07-01 00:00:00

  • Experimental measurement and mathematical modeling of pulsatile forces on a symmetric, bifurcated endoluminal stent graft model.

    abstract::The objective of this study was to measure the pulsatile forces acting on a symmetric, bifurcated endoluminal stent graft to validate a computational fluid dynamics (CFD) and analytic model so that they can be used for various graft dimensions. We used a load cell to measure the force owing to the movement of an acryl...

    journal_title:Vascular

    pub_type: 杂志文章

    doi:10.2310/6670.2009.00036

    authors: Liffman K,Sutalo ID,Bui A,Lawrence-Brown MM,Semmens JB

    更新日期:2009-07-01 00:00:00

  • Surgical management of varicose veins: meta-analysis.

    abstract::Open surgery remains the gold standard by which endovascular treatment of superficial chronic venous insufficiency is measured. This meta-analysis of randomized controlled trials reviews the current evidence base, comparing open and endovascular treatment of varicose veins. Systematic review of studies reporting duple...

    journal_title:Vascular

    pub_type: 杂志文章,meta分析

    doi:10.2310/6670.2010.00013

    authors: Brar R,Nordon IM,Hinchliffe RJ,Loftus IM,Thompson MM

    更新日期:2010-07-01 00:00:00

  • American board of vascular surgery: the first 7 years.

    abstract::The American Board of Vascular Surgery (ABVS) was incorporated in 1996 with a vision of improved training standards and certification of vascular surgeons. At that time, 91% of those holding American Board of Surgery Certificates of Added Qualifications in Vascular Surgery supported the formation of the ABVS. Subseque...

    journal_title:Vascular

    pub_type: 杂志文章,评审

    doi:10.1258/rsmvasc.12.1.20

    authors: Stanley JC,Veith FJ

    更新日期:2004-01-01 00:00:00