1
40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jacc.2019.11.054" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jacc.2019.11.054</a>
Pages
648-656
Issue
6
Volume
75
ISSN
1558-3597 0735-1097
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Update Year & Number
Hospital List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Carotid Artery Stenting in Asymptomatic Carotid Artery Stenosis: JACC Review Topic of the Week.
Publisher
An entity responsible for making the resource available
Journal of the American College of Cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-02-18
Subject
The topic of the resource
Humans; Stents; stroke; Clinical Competence; Asymptomatic Diseases; Insurance Health Reimbursement; carotid artery; endarterectomy; stenosis; stent; Carotid Stenosis/surgery; Endovascular Procedures/economics/instrumentation/standards
Creator
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Beckman JA; Ansel GM; Lyden SP; Das TS
Description
An account of the resource
The advance of therapies to reduce the stroke impact of asymptomatic carotid artery stenosis has proved difficult over the last decade. Disagreement concerning the underlying randomized control trials has limited entry into the care arena of endovascular therapies. Recently, advances in percutaneous therapies for carotid artery disease have been reported and provide a substantial database supporting the further incorporation of endovascular-based therapies in patients who need revascularization and meet selection criteria. With a second randomized control trial now published, it is time for a re-evaluation of endovascular therapy as a component of carotid artery care. This review describes the advances in the field in the last 5 years, clarifying the current position of these therapies in the care of the patient with asymptomatic carotid artery disease.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jacc.2019.11.054" target="_blank" rel="noreferrer noopener">10.1016/j.jacc.2019.11.054</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
Ansel GM
Asymptomatic Diseases
Beckman JA
carotid artery
Carotid Stenosis/surgery
Clinical Competence
Das TS
Endarterectomy
Endovascular Procedures/economics/instrumentation/standards
Hospital List
Humans
Insurance Health Reimbursement
Journal of the American College of Cardiology
journalArticle
Lyden SP
stenosis
stent
Stents
stroke
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.wneu.2019.03.254" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.wneu.2019.03.254</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
NEOMED College
NEOMED College of Medicine
NEOMED Department
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Carotid Endarterectomy and Carotid Artery Stenting in a Predominantly Symptomatic Real-World Patient Population.
Publisher
An entity responsible for making the resource available
World neurosurgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Subject
The topic of the resource
Carotid; Endarterectomy; Outcomes; Restenosis; Stenting
Creator
An entity primarily responsible for making the resource
Howie Benjamin A; Witek Alex M; Hussain M Shazam; Bain Mark D; Toth Gabor
Description
An account of the resource
OBJECTIVE: Carotid endarterectomy (CEA) and carotid angioplasty and stenting (CAS) are well established treatments that have been shown to decrease stroke recurrence in patients with underlying carotid artery disease. We assessed clinical outcome, safety and restenosis rates for patients who underwent standardized CEA or CAS at our tertiary care center using patient selection criteria based on available scientific evidence. METHODS: Retrospective chart review of patients who underwent CEA or CAS between 2009 and 2016. RESULTS: In total, 314 cases (204 CEA and 110 CAS) were analyzed. Patients were predominantly non-Hispanic Caucasian (84.4%), males (61.1%) with hypertension (86.9%) and hyperlipidemia (81.8%). Most patients (84.5%) had symptomatic carotid disease. No significant differences were observed in median post-operative NIHSS and mRS scores based on pre-treatment symptomatic status, or treatment modality (CEA vs CAS). Most patients (85.9%) had favorable outcomes (mRS 0-2) at a median follow-up of 11.7 months (IQR 1.8- 28.8). The perioperative complication rate was low (3.2%), and permanent neurologic deficit was seen in only 3 patients (1%). Restenosis was found in 7.3% without significant difference between CEA and CAS at last follow-up. Restenosis was asymptomatic in the majority of patients. CONCLUSIONS: Our findings in a real-world predominantly symptomatic cohort demonstrate that favorable patient outcomes, and low restenosis and complication rates can be achieved with both CEA and CAS by the utilization of a consistent institutional patient selection and treatment process.
Identifier
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<a href="http://doi.org/10.1016/j.wneu.2019.03.254" target="_blank" rel="noreferrer noopener">10.1016/j.wneu.2019.03.254</a>
2019
Bain Mark D
Carotid
Endarterectomy
Howie Benjamin A
Hussain M Shazam
NEOMED College of Medicine Student
NEOMED Student Publications
outcomes
Restenosis
Stenting
Toth Gabor
Witek Alex M
World neurosurgery