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Internal and Emergency Medicine

, Volume 9, Issue 2, pp 133–142 | Cite as

Carotid stenosis management: a review for the internist

  • Gabriel Assis Lopes CarmoEmail author
  • Daniela Calderaro
  • Danielle Menosi Gualandro
  • Ivan Benaduce Casella
  • Pai Ching Yu
  • André Coelho Marques
  • Bruno Caramelli
IM - REVIEW

Abstract

Stroke is one of the most important causes of mortality and morbidity worldwide and, for a long time, was the leading cause of death in developed countries. Atherothrombotic carotid stenosis is one of the most important etiologies behind this event. If properly recognized and treated, lives can be saved, as well as long-term disabilities prevented. With population aging and improvements in surgical and clinical care, patients with several comorbidities will be referred for revascularization procedures more frequently, posing a challenge for physicians. The purpose of this review is to provide internists and clinicians with information based on several studies so they can offer to their patients, the best evidence-based care, indicating appropriate medical therapy, as well as referral to a vascular surgeon, or what contraindicates endarterectomy or angioplasty, depending on individual characteristics.

Keywords

Carotid artery disease Carotid stenosis Carotid endarterectomy Carotid angioplasty Atherosclerosis Atherothrombosis Stroke 

Notes

Conflict of interest

None.

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Copyright information

© SIMI 2013

Authors and Affiliations

  • Gabriel Assis Lopes Carmo
    • 1
    Email author
  • Daniela Calderaro
    • 1
  • Danielle Menosi Gualandro
    • 1
  • Ivan Benaduce Casella
    • 2
  • Pai Ching Yu
    • 1
  • André Coelho Marques
    • 1
  • Bruno Caramelli
    • 1
  1. 1.Interdisciplinary Medicine in Cardiology Unit, Instituto do Coração (InCor)São Paulo University Medical School (USP)São PauloBrazil
  2. 2.Vascular and Endovascular Division, Department of SurgerySão Paulo University Medical School (USP)São PauloBrazil

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