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dc.contributor.authorParaskevas, Kosmas I
dc.contributor.authorMikhailidis, Dimitri P
dc.contributor.authorBaradaran, Hediyeh
dc.contributor.authorDavies, Alun H
dc.contributor.authorEckstein, Hans-Henning
dc.contributor.authorFaggioli, Gianluca
dc.contributor.authorFernandes, Jose Fernandes E
dc.contributor.authorGupta, Ajay
dc.contributor.authorJezovnik, Mateja K
dc.contributor.authorKakkos, Stavros K
dc.contributor.authorKatsiki, Niki
dc.contributor.authorKooi, M Eline
dc.contributor.authorLanza, Gaetano
dc.contributor.authorLiapis, Christos D
dc.contributor.authorLoftus, Ian M
dc.contributor.authorMillon, Antoine
dc.contributor.authorNicolaides, Andrew N
dc.contributor.authorPoredos, Pavel
dc.contributor.authorPini, Rodolfo
dc.contributor.authorRicco, Jean-Baptiste
dc.contributor.authorRundek, Tatjana
dc.contributor.authorSaba, Luca
dc.contributor.authorSpinelli, Francesco
dc.contributor.authorStilo, Francesco
dc.contributor.authorSultan, Sherif
dc.contributor.authorZeebregts, Clark J
dc.contributor.authorChaturvedi, Seemant
dc.date.accessioned2021-06-11T14:15:00Z
dc.date.available2021-06-11T14:15:00Z
dc.date.issued2021-05-31
dc.identifier.urihttp://hdl.handle.net/10713/15993
dc.description.abstractThe 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.en_US
dc.description.urihttps://doi.org/10.5853/jos.2020.04273en_US
dc.language.isoenen_US
dc.publisherKorean Stroke Societyen_US
dc.relation.ispartofJournal of Strokeen_US
dc.subjectCarotid stenosisen_US
dc.subjectEndarterectomy, carotiden_US
dc.subjectIschemic attack, transienten_US
dc.subjectLife expectancyen_US
dc.subjectPatient preferenceen_US
dc.subjectStrokeen_US
dc.titleManagement of Patients with Asymptomatic Carotid Stenosis May Need to Be Individualized: A Multidisciplinary Call for Actionen_US
dc.typeArticleen_US
dc.identifier.doi10.5853/jos.2020.04273
dc.identifier.pmid34102755
dc.source.volume23
dc.source.issue2
dc.source.beginpage202
dc.source.endpage212
dc.source.countryKorea (South)


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