Loading…

How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis

Abstract Carotid atherosclerosis accounts for approximately 10% of ischemic stroke cases. Multifaceted medical therapy reduces the risk of stroke in patients with carotid stenosis. Revascularization with endarterectomy or stenting can benefit select patients. In recent years, new information has bee...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American College of Cardiology 2015-03, Vol.65 (11), p.1134-1143
Main Authors: Chaturvedi, Seemant, MD, Sacco, Ralph L., MD
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3
cites cdi_FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3
container_end_page 1143
container_issue 11
container_start_page 1134
container_title Journal of the American College of Cardiology
container_volume 65
creator Chaturvedi, Seemant, MD
Sacco, Ralph L., MD
description Abstract Carotid atherosclerosis accounts for approximately 10% of ischemic stroke cases. Multifaceted medical therapy reduces the risk of stroke in patients with carotid stenosis. Revascularization with endarterectomy or stenting can benefit select patients. In recent years, new information has been obtained regarding optimal selection of revascularization candidates. In addition, new concepts have been formulated regarding the relationship between carotid stenosis and vascular cognitive impairment. Finally, the declining rate of stroke with improved medical therapy has led to the launch of new clinical trials to determine the contemporary risk/benefit ratio of revascularization relative to aggressive medical therapy.
doi_str_mv 10.1016/j.jacc.2014.12.045
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1680190035</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735109715001278</els_id><sourcerecordid>3627702811</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3</originalsourceid><addsrcrecordid>eNp9kVGL1DAQx4Mo3t7pF_BBAr740jpJm7QFEY7VcxcODrzzOcTJFFO77ZpkT_bbm7Knwj0IIYHw-w8zv2HslYBSgNDvhnKwiKUEUZdCllCrJ2wllGqLSnXNU7aCplKFgK45Y-cxDgCgW9E9Z2dSNR20rV6xm838i38hpCnxjzZZvrH3xLe7vcVEjqfvxO8C2bRbgLnn2ylRmOzI1zbMyTt-GfLHkd8mmubo4wv2rLdjpJcP7wX7evXpbr0prm8-b9eX1wXWVZcK2clG9440QS0Aoeop351TCvtauhZJAziVj0QnW3TOKo0IEiqttMbqgr091d2H-eeBYjI7H5HG0U40H6IRugXRAVQqo28eocN8WGZYKF3nRkSjMyVPFIY5xkC92Qe_s-FoBJhFtxnMotssuo2QJuvOodcPpQ_fduT-Rv74zcD7E0DZxb2nYCJ6mpCcD4TJuNn_v_6HR3Ec_eTRjj_oSPHfHCbmgLldFr7sWygAIZu2-g0eyaOy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1664276176</pqid></control><display><type>article</type><title>How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis</title><source>BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS</source><creator>Chaturvedi, Seemant, MD ; Sacco, Ralph L., MD</creator><creatorcontrib>Chaturvedi, Seemant, MD ; Sacco, Ralph L., MD</creatorcontrib><description>Abstract Carotid atherosclerosis accounts for approximately 10% of ischemic stroke cases. Multifaceted medical therapy reduces the risk of stroke in patients with carotid stenosis. Revascularization with endarterectomy or stenting can benefit select patients. In recent years, new information has been obtained regarding optimal selection of revascularization candidates. In addition, new concepts have been formulated regarding the relationship between carotid stenosis and vascular cognitive impairment. Finally, the declining rate of stroke with improved medical therapy has led to the launch of new clinical trials to determine the contemporary risk/benefit ratio of revascularization relative to aggressive medical therapy.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2014.12.045</identifier><identifier>PMID: 25790886</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angioplasty ; atherosclerosis ; Cardiology ; Cardiovascular ; Carotid Artery, Internal ; Carotid Stenosis - complications ; Carotid Stenosis - therapy ; carotid stenosis ; Cholesterol ; endarterectomy ; Endarterectomy, Carotid ; Heart attacks ; Humans ; Internal Medicine ; Older people ; stenting ; Stents ; Stroke ; Stroke - etiology ; Stroke - prevention &amp; control ; stroke prevention ; stroke risk</subject><ispartof>Journal of the American College of Cardiology, 2015-03, Vol.65 (11), p.1134-1143</ispartof><rights>American College of Cardiology Foundation</rights><rights>2015 American College of Cardiology Foundation</rights><rights>Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 24, 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3</citedby><cites>FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25790886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chaturvedi, Seemant, MD</creatorcontrib><creatorcontrib>Sacco, Ralph L., MD</creatorcontrib><title>How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Abstract Carotid atherosclerosis accounts for approximately 10% of ischemic stroke cases. Multifaceted medical therapy reduces the risk of stroke in patients with carotid stenosis. Revascularization with endarterectomy or stenting can benefit select patients. In recent years, new information has been obtained regarding optimal selection of revascularization candidates. In addition, new concepts have been formulated regarding the relationship between carotid stenosis and vascular cognitive impairment. Finally, the declining rate of stroke with improved medical therapy has led to the launch of new clinical trials to determine the contemporary risk/benefit ratio of revascularization relative to aggressive medical therapy.</description><subject>Angioplasty</subject><subject>atherosclerosis</subject><subject>Cardiology</subject><subject>Cardiovascular</subject><subject>Carotid Artery, Internal</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - therapy</subject><subject>carotid stenosis</subject><subject>Cholesterol</subject><subject>endarterectomy</subject><subject>Endarterectomy, Carotid</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Older people</subject><subject>stenting</subject><subject>Stents</subject><subject>Stroke</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention &amp; control</subject><subject>stroke prevention</subject><subject>stroke risk</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp9kVGL1DAQx4Mo3t7pF_BBAr740jpJm7QFEY7VcxcODrzzOcTJFFO77ZpkT_bbm7Knwj0IIYHw-w8zv2HslYBSgNDvhnKwiKUEUZdCllCrJ2wllGqLSnXNU7aCplKFgK45Y-cxDgCgW9E9Z2dSNR20rV6xm838i38hpCnxjzZZvrH3xLe7vcVEjqfvxO8C2bRbgLnn2ylRmOzI1zbMyTt-GfLHkd8mmubo4wv2rLdjpJcP7wX7evXpbr0prm8-b9eX1wXWVZcK2clG9440QS0Aoeop351TCvtauhZJAziVj0QnW3TOKo0IEiqttMbqgr091d2H-eeBYjI7H5HG0U40H6IRugXRAVQqo28eocN8WGZYKF3nRkSjMyVPFIY5xkC92Qe_s-FoBJhFtxnMotssuo2QJuvOodcPpQ_fduT-Rv74zcD7E0DZxb2nYCJ6mpCcD4TJuNn_v_6HR3Ec_eTRjj_oSPHfHCbmgLldFr7sWygAIZu2-g0eyaOy</recordid><startdate>20150324</startdate><enddate>20150324</enddate><creator>Chaturvedi, Seemant, MD</creator><creator>Sacco, Ralph L., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20150324</creationdate><title>How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis</title><author>Chaturvedi, Seemant, MD ; Sacco, Ralph L., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angioplasty</topic><topic>atherosclerosis</topic><topic>Cardiology</topic><topic>Cardiovascular</topic><topic>Carotid Artery, Internal</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - therapy</topic><topic>carotid stenosis</topic><topic>Cholesterol</topic><topic>endarterectomy</topic><topic>Endarterectomy, Carotid</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Older people</topic><topic>stenting</topic><topic>Stents</topic><topic>Stroke</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention &amp; control</topic><topic>stroke prevention</topic><topic>stroke risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaturvedi, Seemant, MD</creatorcontrib><creatorcontrib>Sacco, Ralph L., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaturvedi, Seemant, MD</au><au>Sacco, Ralph L., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2015-03-24</date><risdate>2015</risdate><volume>65</volume><issue>11</issue><spage>1134</spage><epage>1143</epage><pages>1134-1143</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><abstract>Abstract Carotid atherosclerosis accounts for approximately 10% of ischemic stroke cases. Multifaceted medical therapy reduces the risk of stroke in patients with carotid stenosis. Revascularization with endarterectomy or stenting can benefit select patients. In recent years, new information has been obtained regarding optimal selection of revascularization candidates. In addition, new concepts have been formulated regarding the relationship between carotid stenosis and vascular cognitive impairment. Finally, the declining rate of stroke with improved medical therapy has led to the launch of new clinical trials to determine the contemporary risk/benefit ratio of revascularization relative to aggressive medical therapy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25790886</pmid><doi>10.1016/j.jacc.2014.12.045</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0735-1097
ispartof Journal of the American College of Cardiology, 2015-03, Vol.65 (11), p.1134-1143
issn 0735-1097
1558-3597
language eng
recordid cdi_proquest_miscellaneous_1680190035
source BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS
subjects Angioplasty
atherosclerosis
Cardiology
Cardiovascular
Carotid Artery, Internal
Carotid Stenosis - complications
Carotid Stenosis - therapy
carotid stenosis
Cholesterol
endarterectomy
Endarterectomy, Carotid
Heart attacks
Humans
Internal Medicine
Older people
stenting
Stents
Stroke
Stroke - etiology
Stroke - prevention & control
stroke prevention
stroke risk
title How Recent Data Have Impacted the Treatment of Internal Carotid Artery Stenosis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T09%3A54%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20Recent%20Data%20Have%20Impacted%20the%20Treatment%20of%20Internal%20Carotid%20Artery%20Stenosis&rft.jtitle=Journal%20of%20the%20American%20College%20of%20Cardiology&rft.au=Chaturvedi,%20Seemant,%20MD&rft.date=2015-03-24&rft.volume=65&rft.issue=11&rft.spage=1134&rft.epage=1143&rft.pages=1134-1143&rft.issn=0735-1097&rft.eissn=1558-3597&rft_id=info:doi/10.1016/j.jacc.2014.12.045&rft_dat=%3Cproquest_cross%3E3627702811%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c439t-29276fde6e0410c03fe0c09d55cf42d8ce600d50d52cd28cdda56cc02036566c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1664276176&rft_id=info:pmid/25790886&rfr_iscdi=true