HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Paciaroni, M Articles by Agnelli, G Search for Related Content PubMed PubMed Citation Articles by Paciaroni, M Articles by Agnelli, G

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

¹ Stroke Unit, University Hospital of Perugia, Italy
² Department of Neurology, University Hospital of Zürich, Switzerland

Correspondence to:
Correspondence to:
Dr M Paciaroni
Stroke Unit, University of Perugia, Ospedale Silvestrini, Sant’Andrea delle Fratte, Perugia 06126, Italy; mpaciaroni{at}libero.it

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 <3% with unilateral asymptomatic stenosis >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.

Abbreviations: CABG, coronary artery bypass grafting; CEA, carotid endarterectomy; PAD, peripheral artery disease; TIA, transient ischaemic attack

Keywords: asymptomatic carotid stenosis; stroke; cardiac surgery; non-cardiac surgery

This article has been cited by other articles:

				C. P. Derdeyn Carotid Stenting for Asymptomatic Carotid Stenosis: Trial It Stroke, February 1, 2007; 38(2): 715 - 720. [Abstract] [Full Text] [PDF]

				G. S. Roubin, S. Iyer, A. Halkin, J. Vitek, and C. Brennan Realizing the Potential of Carotid Artery Stenting: Proposed Paradigms for Patient Selection and Procedural Technique Circulation, April 25, 2006; 113(16): 2021 - 2030. [Abstract] [Full Text] [PDF]