Transcranial Doppler in Management of Asymptomatic Carotid Stenosis

Arokszallasi, T.; Olah, L.

Angol nyelvű Tudományos Összefoglaló cikk (Folyóiratcikk)
Megjelent: NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS 1312-6431 14 (2) pp. 88-95 2018
      There have been contradictions regarding the optimal treatment of patients with asymptomatic severe internal carotid artery stenosis (ACAS). From the one hand previous studies proved benefit from carotid intervention in ACAS patients, from the other hand due to the development of modern medical therapy there has been a significant reduction in stroke incidence in patients with only medical treatment. Recent calculations have suggested that the stroke risk with intensive medical therapy is lower or similar compared with that of carotid endarterectomy or carotid artery stenting in ACAS patients. Therefore, carotid reconstruction for the most patients with asymptomatic severe internal carotid artery stenosis has not been suggested recently. However, some special subgroups with high stroke risk were shown to benefit from carotid surgery. High-risk patients are characterised by poor collateral circulation with exhausted cerebrovascular reserve capacity, or by unstable plaque with cerebral microembolisation. The present article summarizes the use of transcranial Doppler in selection of high-risk ACAS patients who may benefit from carotid intervention.
      Hivatkozás stílusok: IEEEACMAPAChicagoHarvardCSLMásolásNyomtatás
      2020-08-04 20:06