Surgical Treatment of Asymptomatic Carotid Stenosis

1996 ◽  
Vol 6 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Charles Warlow
Keyword(s):  
Surgical Treatment ◽  
Carotid Stenosis ◽  
Asymptomatic Carotid Stenosis ◽  
Asymptomatic Carotid

scholarly journals Is it possible that this patient is asymptomatic? The role of multidetector ct angiography in detection of ulcerated plaques in patients with asymptomatic carotid stenosis: Case report

2015 ◽  
Vol 143 (9-10) ◽  
pp. 615-618
Author(s):  
Slobodan Tanaskovic ◽  
Srdjan Babic ◽  
Nikola Aleksic ◽  
Predrag Matic ◽  
Predrag Gajin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Stenosis ◽  
Internal Carotid ◽  
Duplex Ultrasonography ◽  
Asymptomatic Carotid Stenosis ◽  
Mdct Angiography ◽  
Asymptomatic Carotid ◽  
Color Duplex Ultrasonography

Introduction. Although intervention in patients with symptomatic carotid disease is generally accepted as beneficial, the management of asymptomatic disease is still controversial. We wanted to introduce and discuss treatment options in a patient with asymptomatic carotid stenosis and high embolic potential lesions of common and internal carotid artery detected by multidetector computed tomography (MDCT). Case Outline. A 78-year-old female patient was admitted to our institution for diagnostics and surgical treatment of asymptomatic high-grade carotid stenosis. Upon admission, color duplex ultrasonography of the carotid arteries revealed the left common carotid artery (CCA) stenosis of 50% and the ipsilateral internal carotid artery (ICA) stenosis of 60%, while the right CCA was narrowed by 60% and the ipsilateral ICA by 80%. Because of the left subclavian artery (LSA) occlusion, also described by ultrasonography, MDCT angiography was performed to assess arterial morphology for possible angioplasty. In addition to LSA occlusion, MDCT angiography surprisingly revealed significant left CCA (>80%) and ICA (>70%) narrowing by ulcerated plaques with high embolic potential. Surgical treatment of the left CCA and ICA was indicated and Dacron? tubular graft interposition was performed. The postoperative course was uneventful and the patient was discharged from the Institute on the third postoperative day. After the six-month follow-up the patient was doing well with well-preserved graft patency. Conclusion. Although color duplex ultrasonography is reliable and safe imaging modality in carotid stenosis diagnosis, MDCT angiography plays a significant role in patients with asymptomatic carotid stenosis since plaques with high embolic potential could be detected, which, if left untreated, could have severe neurological ischemic consequences.

Surgical Treatment of Carotid Artery Stenotic Disease

2003 ◽  
Vol 16 (1) ◽  
pp. 31-37
Author(s):  
G. Lanza
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Carotid Stenosis ◽  
Endovascular Procedures ◽  
Controlled Trials ◽  
Carotid Surgery ◽  
Asymptomatic Carotid Stenosis ◽  
Asymptomatic Carotid ◽  
Symptomatic Carotid ◽  
Symptomatic Carotid Stenosis

Starting from historical considerations, the evolution of carotid surgery is analyzed from its origin, when indications and methods used to rely on the insights of operators to date when indications, influenced by improvements in diagnostic and therapeutic techniques, must match the evidence coming from controlled trials. Current indications are herein produced for symptomatic carotid stenosis, which are considered standard, for asymptomatic carotid stenosis and endovascular procedures, which have yet to be defined. Also indications for carotid surgery in emergency are provided, a chapter which has recently been rediscovered and proposed with good results.

Surgical Treatment of Significant Asymptomatic Carotid Stenosis: for the Motion

2017 ◽  
Vol 106 ◽  
pp. 980 ◽  
Author(s):  
Daniela Mazzaccaro ◽  
Giovanni Romagnoni ◽  
Alberto Maria Settembrini ◽  
Giovanni Nano
Keyword(s):  
Surgical Treatment ◽  
Carotid Stenosis ◽  
Asymptomatic Carotid Stenosis ◽  
Asymptomatic Carotid
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