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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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The optimal management of patients with asymptomatic carotid stenosis (ACS) is the subject of extensive debate. According to the 2017 European Society for Vascular Surgery guidelines, carotid endarterectomy should (Class IIa; Level of Evidence: B) or carotid artery stenting may be considered (Class IIb; Level of Evidence: B) in the presence of one or more clinical/imaging characteristics that may be associated with an increased risk of late ipsilateral stroke (e.g., silent embolic infarcts on brain computed tomography/magnetic resonance imaging, progression in the severity of ACS, a history of contralateral transient ischemic attack/stroke, microemboli detection on transcranial Doppler, etc.), provided documented perioperative stroke/death rates are <3% and the patient’s life expectancy is >5 years. Besides these clinical/imaging characteristics, there are additional individual, ethnic/racial or social factors that should probably be evaluated in the decision process regarding the optimal management of these patients, such as individual patient needs/patient choice, patient compliance with best medical treatment, patient sex, culture, race/ethnicity, age and comorbidities, as well as improvements in imaging/operative techniques/outcomes. The present multispecialty position paper will present the rationale why the management of patients with ACS may need to be individualized.
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등록된 정보가 없습니다.
참고문헌 (76)
참고문헌 신청
Virani SS / 2020 / Heart disease and stroke statistics : 2020 update : a report from the American Heart Association / Circulation 141:e139~e596
Naylor AR / 2018 / Editor’s choice : management of atherosclerotic carotid and vertebral artery disease : 2017 clinical practice guidelines of the European Society for Vascular Surgery(ESVS) / Eur J Vasc Endovasc Surg 55:3~81
Flaherty ML / 2013 / Carotid artery stenosis as a cause of stroke / Neuroepidemiology 40:36~41
Keyhani S / 2020 / Comparative effectiveness of carotid endarterectomy vs initial medical therapy in patients with asymptomatic carotid stenosis / JAMA Neurol 77:1110~1121
Paraskevas KI / 2014 / Identifying which patients with asymptomatic carotid stenosis could benefit from intervention / Stroke 45:3720~3724
Naylor AR / 2018 / Editor’s choice : management of atherosclerotic carotid and vertebral artery disease : 2017 clinical practice guidelines of the European Society for Vascular Surgery(ESVS) / Eur J Vasc Endovasc Surg 55:3~81
Flaherty ML / 2013 / Carotid artery stenosis as a cause of stroke / Neuroepidemiology 40:36~41
Keyhani S / 2020 / Comparative effectiveness of carotid endarterectomy vs initial medical therapy in patients with asymptomatic carotid stenosis / JAMA Neurol 77:1110~1121
Paraskevas KI / 2014 / Identifying which patients with asymptomatic carotid stenosis could benefit from intervention / Stroke 45:3720~3724
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