New recommendations of management of Patients With Extracranial Carotid and Vertebral Artery Disease Review article

Article Sidebar

Requires Subscription PDF (Język Polski)


Published: Jun 30, 2011
Keywords:
recommendations, carotid artery stenosis, atherosclerosis, endarterectomy

Main Article Content

Justyna Wilczko
Katedra i Klinika Chorób Wewnętrznych, Nadciśnienia Tętniczego i Angiologii Warszawskiego Uniwersytetu Medycznego

Abstract

Article summarizes newest data and recommendations concerning carotid and vertebral artery stenosis. The prevalence of carotid artery stenosis is about 50% in population of patients after stroke. Carotid endarterectomy in patients with 50–90% of stenosis reduces significantly risk of stroke. A new form of therapy is carotid artery stenting particularly useful in patients with high clinical risk or with anatomical disorders. In older patients with anatomic complexity or atheroma carotid endarterectomy is reasonable choice. Carotid artery stenting may be advised in younger patients, in those with recurrent stenosis, contraindications for endarterectomy, after carotid area radiotherapy or in those with carotid anatomy inaccessible for surgery. Optimal non-invasive therapy is an efficacious alternative in therapeutic approach. In all patients lifestyle modifications, therapy with antiplatelet drugs and control of risk factors are necessary in order to improve results and decrease the risk

Downloads

Download data is not yet available.

Article Details

How to Cite
Wilczko , J. (2011). New recommendations of management of Patients With Extracranial Carotid and Vertebral Artery Disease. Cardiology in Practice, 5(2), 71-75. Retrieved from https://journalsmededu.pl/index.php/kwp/article/view/1608
Issue
Vol 5 No 2 (2011)
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)

References

1. Brott T.G., Halperin J.L., Abbara S. et al.: JASA/ACCF/AHA/AANN/AANS/ACR/ASNR/ CNS/ SAIP/ SCAI/ SIR/ SNIS/ SVM/ SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: Executive summary. Circulation 2011 [DOI: 10.1161/ CIR.0b013e31820d8d78].
2. Lanzino G., Rabinstein A., Brown R. Jr.: Treatment of Carotid Artery Stenosis: Medical Therapy, Surgery, or Stenting? Mayo Clin. Proc. 2009, 84: 362-368.
3. Menees D., Bates E.: Symptomatic carotid artery stenosis: what is the preferred treatment? Pol. Arch. Med. Wewn. 2011, 121: 35-39.
4. Ederle J., Dobson J., Brown M.M. et al.: Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet 2010, 375: 985-97.
5. Brott T., Howard G., Silver F. et al.: Stenting versus Endarterectomy for Treatment of Carotid-Artery Stenosis. N. Engl. J. Med. 2010, 363(1): 11-23.
6. Pieniążek P.: Nowe spojrzenie na stentowanie tętnic szyjnych w świetle wyników badania CREST. Post. Kardiol. Interw. 2010, 6, 3(21): 122-125.