scholarly journals Study design for randomized prospective trial of carotid endarterectomy for asymptomatic atherosclerosis. The Asymptomatic Carotid Atherosclerosis Study Group.

Stroke ◽  
1989 ◽  
Vol 20 (7) ◽  
pp. 844-849 ◽  
Keyword(s):  
Carotid Endarterectomy ◽  
Study Design ◽  
Carotid Atherosclerosis ◽  
Prospective Trial ◽  
Study Group ◽  
Asymptomatic Carotid ◽  
Randomized Prospective Trial

Angioplastica carotidea

1998 ◽  
Vol 11 (4) ◽  
pp. 431-442 ◽  
Author(s):  
M. Puglioli ◽  
R. Padolecchia ◽  
P.L. Collavoli ◽  
G. Parenti ◽  
G. Orlandi ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
North American ◽  
Carotid Atherosclerosis ◽  
Sono State ◽  
Carotid Surgery ◽  
Asymptomatic Carotid ◽  
Symptomatic Carotid ◽  
Sono Stati ◽  
Surgery Trial

L'endoarteriectomia, come confermano i risultati degli studi multicentrici NASCET (North American Symptomatic Carotid Endarterectomy Trial), ECST (European Carotid Surgery Trial) ed ACAS (Asymptomatic Carotid Atherosclerosis Study), rappresenta il trattamento di elezione delle stenosi aterosclerotiche interessanti il distretto extracranico dell'arteria carotide, sia nei pazienti sintomatici (stenosi > 70%) che asintomatici (stenosi > 60%). L'intervento chirurgico è gravato da un rischio cumulativo di morbilità-mortalità (stroke/morte) che il NASCET, l'ECST e l'ACAS segnalano, rispettivamente, nel 5,8%, 7,5% e 2,3%, insieme ad altre possibili complicanze: infarto miocardico (0,9%), paralisi di nervi cranici (7,6%), ematoma del collo (5,5%), infezioni (3,4%). Qualora, per ragioni cliniche od anatomiche, il rischio chirurgico sia troppo elevato, come nei pazienti cardiopatici, diabetici, con insufficienza polmonare o renale, con restenosi, con stenosi post-attiniche o fibrodisplastiche, con stenosi carotidee prossimali o distali, con lesioni «tandem», l'angioplastica transluminale percutanea (PTA) e/o lo Stenting carotideo possono rappresentare una valida alternativa terapeutica all'endoarteriectomia. In questo articolo presentiamo la nostra casistica relativa a 41 procedure (36 PTA; 5 Stenting), eseguite su 33 pazienti negli ultimi due anni. I trattamenti sono stati rivolti a 28 arterie carotidi interne, 4 arterie carotidi esterne, 2 arterie carotidi comuni, 2 tronchi anonimi; gli stents sono stati rilasciati in 4 arterie carotidi interne e in 1 arteria carotide comune. Le procedure regolarmente portate a termine sono state 37 (32 PTA; 5 Stents), con un ottimo risultato anatomico in 36 casi. Nei controlli a 6 mesi abbiamo riscontrato una ristenosi (< 60%), asintomatica. In questo articolo illustriamo il nostro protocollo, gli insuccessi tecnici, i risultati e le complicanze.

scholarly journals Effect of the Asymptomatic Carotid Atherosclerosis Study on Carotid Endarterectomy in Florida

Stroke ◽  
1998 ◽  
Vol 29 (6) ◽  
pp. 1099-1105 ◽  
Author(s):  
Thomas S. Huber ◽  
Kevin G. Wheeler ◽  
John K. Cuddeback ◽  
Douglas A. Dame ◽  
Timothy C. Flynn ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Carotid Atherosclerosis ◽  
Asymptomatic Carotid

scholarly journals Carotid endarterectomy in female patients: Are the concerns of the Asymptomatic Carotid Atherosclerosis Study valid?

2001 ◽  
Vol 33 (2) ◽  
pp. 236-241 ◽  
Author(s):  
Caron B. Rockman ◽  
Juan Castillo ◽  
Mark A. Adelman ◽  
Glenn R. Jacobowitz ◽  
Paul J. Gagne ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Carotid Atherosclerosis ◽  
Asymptomatic Carotid ◽  
Female Patients

Carotid Endarterectomy for Asymptomatic Carotid Stenosis

2017 ◽  
Author(s):  
Michael E. Hochman
Keyword(s):  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Carotid Stenosis ◽  
Study Design ◽  
Clinical Case ◽  
Asymptomatic Carotid Stenosis ◽  
Asymptomatic Carotid ◽  
Asymptomatic Patients ◽  
Study Intervention

This chapter provides a summary of the landmark surgical study known as the ACST trial, which compared surgical versus nonsurgical treatment for asymptomatic carotid stenosis. Is carotid endarterectomy (CEA) beneficial in asymptomatic patients with severe carotid stenosis? Starting with that question, the chapter describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case involving vascular surgery.

scholarly journals Modern medical treatment with or without carotid endarterectomy for severe asymptomatic carotid atherosclerosis

2015 ◽  
Vol 62 (4) ◽  
pp. 914-922 ◽  
Author(s):  
Igor Kolos ◽  
Alexandr Troitskiy ◽  
Tatiana Balakhonova ◽  
Merab Shariya ◽  
Denis Skrypnik ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Carotid Endarterectomy ◽  
Carotid Atherosclerosis ◽  
Asymptomatic Carotid

1152: Alpha-1 Receptor Blocking Therapy for Lower Ureteral Stones: A Randomized Prospective Trial

2004 ◽  
Vol 171 (4S) ◽  
pp. 304-304 ◽  
Author(s):  
Ali Tekin ◽  
Erdal Alkan ◽  
Melih Beysel ◽  
Ergin Yucebas ◽  
Ruknettin Aslan ◽  
...  
Keyword(s):  
Prospective Trial ◽  
Ureteral Stones ◽  
Receptor Blocking ◽  
Randomized Prospective Trial
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