Current Cardiology Reports

, Volume 13, Issue 1, pp 24–29

Update on Surgical Management for Asymptomatic Carotid Stenosis

Article

DOI: 10.1007/s11886-010-0146-1

Cite this article as:
Walkup, M.H. & Faries, P.L. Curr Cardiol Rep (2011) 13: 24. doi:10.1007/s11886-010-0146-1

Abstract

The management of asymptomatic carotid stenosis has been a topic of considerable debate. In this article, we aim to critically review the recent literature as it pertains to surgical management of asymptomatic carotid stenosis. We will explore the most recent trials looking at advancements in best medical therapy, as well as trials that compare traditional carotid endarterectomy to carotid stenting. In addition, we will review the current literature on surgical technique and perioperative risk management. Overall, our current recommendation is for surgical management of asymptomatic carotid disease for stenoses ≥ 80% in patients who are of reasonable perioperative risk.

Keywords

Asymptomatic carotid stenosisCarotid endarterectomyStroke

Clinical Trial Acronyms

ACAS

Asymptomatic Carotid Atherosclerosis Study

ACES

Asymptomatic Carotid Emboli Study

ACST

Asymptomatic Carotid Surgery Trial

CREST

Carotid Revascularization Endarterectomy Versus Stenting Trial

GALA

General Anesthesia Versus Local Anesthesia for Carotid Surgery

SAPPHIRE

Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy

SPACE-2

Stent-protected Angioplasty in Asymptomatic Carotid Artery Stenosis Versus Endarterectomy

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of Vascular SurgeryNew YorkUSA