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Review
. 2015 Feb;33(1):1-35.
doi: 10.1016/j.ccl.2014.09.001.

Management of extracranial carotid artery disease

Yinn Cher Ooi  1 , Nestor R Gonzalez  2
Affiliations
Review

Management of extracranial carotid artery disease

Yinn Cher Ooi et al. Cardiol Clin. 2015 Feb.

Abstract

Stroke is the third leading cause of death in developed nations. Up to 88% of strokes are ischemic in nature. Extracranial carotid artery atherosclerotic disease is the third leading cause of ischemic stroke in the general population and the second most common nontraumatic cause among adults younger than 45 years. This article provides comprehensive, evidence-based recommendations for the management of extracranial atherosclerotic disease, including imaging for screening and diagnosis, medical management, and interventional management.

Keywords: Antiplatelet therapy; Atherosclerotic disease; Carotid angioplasty and stenting; Carotid disease; Carotid endarterectomy; Carotid stenosis; Stroke.

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Figures

Figure 1
Figure 1
Carotid disease management flow chart. Medical management should be started on all patients with carotid atherosclerotic disease independent of intervention. Carotid endarterectomy (CEA) should be considered in all patients who require intervention. CAS may be a better alternative to CEA in asymptomatic patients with severe stenosis and increased risk for surgery.
See this image and copyright information in PMC

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