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Cerebrovascular Disease in the Elderly

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Vascular Disease in Older Adults

Abstract

Risk factors for stroke are more common among the elderly, resulting in higher rates of stroke in this age group. Peri-procedural morbidity and mortality associated with carotid artery revascularization in the elderly is elevated, so is disability associated with stroke in this age group. This necessitates a careful assessment of risks and benefits of pharmacological versus revascularization strategies for these patients. Octogenarians were included in some randomized clinical trials comparing these approaches while specifically excluded in others. We present a summary of available information that can help guide a rational informed approach to the management of symptomatic and asymptomatic carotid occlusive disease in elderly patients. We also describe potential cognitive impairment associated with this process and emerging information on how this may impact clinical decision-making.

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Authors and Affiliations

  1. University of Maryland School of Medicine, University of Maryland Medical Center, Baltimore VA Medical Center, Baltimore, MD, USA

    Brajesh K. Lal

  2. Vascular Medicine, University of Maryland Medical Center, Baltimore, MD, USA

    Rafael S. Cires-Drouet

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  1. Brajesh K. Lal
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  2. Rafael S. Cires-Drouet
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Correspondence to Brajesh K. Lal .

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Editors and Affiliations

  1. Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Rabih Chaer

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Lal, B.K., Cires-Drouet, R.S. (2017). Cerebrovascular Disease in the Elderly. In: Chaer, R. (eds) Vascular Disease in Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-29285-4_6

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  • DOI: https://doi.org/10.1007/978-3-319-29285-4_6

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