What Is the Current Status of Invasive Treatment of Extracranial Carotid Artery Disease? Topical Reviews

What Is the Current Status of Invasive Treatment of Extracranial Carotid Artery Disease? [Topical Reviews]

Year 2011 sees the publication of US guidelines that recommend expanding indications for carotid artery stenting into “average-risk” patients, whereas guidelines from Australia/New Zealand largely do not. This article reviews the status of invasive treatment of carotid disease and highlights 2 controversial issues that were not really addressed in these guidelines: (1) a lack of emphasis on the importance of intervening rapidly after transient ischemic attack/minor stroke; and (2) why continue to recommend that only “highly selected” asymptomatic patients should undergo intervention when virtually no-one pays any attention?

http://hwmaint.stroke.ahajournals.org/cgi/content/short/42/7/2080?rss=1

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