کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2914420 | 1575533 | 2008 | 9 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Prediction and Prevention of Stroke in Patients with Symptomatic Carotid Stenosis: The High-risk Period and the High-risk Patient Prediction and Prevention of Stroke in Patients with Symptomatic Carotid Stenosis: The High-risk Period and the High-risk Patient](/preview/png/2914420.png)
Carotid bifurcation stenosis is an important cause of ischaemic stroke, particularly in patients with recent transient ischaemic attack or minor stroke. Large randomised trials of endarterectomy have shown that surgery reduces the risk of stroke in patients with ≥50% recently symptomatic carotid stenosis, but more recent research has shown that the effectiveness of surgery is highly dependent on timing and on patient selection. Early surgery has been shown to be essential to reduce the high risk of stroke in the first few weeks after a TIA or minor stroke, and targeting treatment on the basis of timing and individual risk modelling has been shown to be useful in selecting patients with most to gain from endarterectomy for symptomatic stenosis. This article reviews current understanding of the high-risk period after TIA and minor stroke and recent developments in the identification of the high-risk patient – both in the acute phase and in the long-term.
Journal: European Journal of Vascular and Endovascular Surgery - Volume 35, Issue 3, March 2008, Pages 255–263