A Protocol-Based Decision for Choosing a Proper Surgical Treatment Option for Carotid Artery Stenosis
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 101-107, 2015.
Article
in English
| WPRIM
| ID: wpr-34160
ABSTRACT
OBJECTIVE:
There are two established surgical treatment options for carotid artery stenosis. Carotid endarterectomy (CEA) has been accepted as a gold standard for surgical treatment while carotid artery stenting (CAS) has recently become an alternative option. Each treatment option has advantages and disadvantages for the treatment outcomes. We propose a protocol for selection of a proper surgical treatment option for carotid artery stenosis. MATERIALS ANDMETHODS:
A total of 192 published articles on management of carotid artery stenosis were reviewed. Preoperatively considerable factors which had been repeatedly noted in those articles for the risk/benefits of CEA or CAS were selected. According to those factors, a protocol with four categories was established.RESULTS:
CEA or CAS is indicated when the patient has a symptomatic stenosis > or = 50%, or when the patient has an asymptomatic stenosis > or = 80%. Each treatment option has absolute indications and favorable indications. Each absolute indication is scored with three points, and each favorable indication, one point. Based on the highest scores, a proper treatment option (CEA or CAS) is selected.CONCLUSION:
We have been treating patients according to this protocol and evaluating the outcomes of our protocol-based decision because this protocol might be helpful in assessment of risk/benefit for selection of a proper surgical treatment option in patients with carotid artery stenosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Carotid Arteries
/
Stents
/
Endarterectomy, Carotid
/
Carotid Stenosis
/
Constriction, Pathologic
Type of study:
Practice guideline
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2015
Type:
Article
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