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Medical and Revascularization Therapies for Asymptomatic Carotid Stenosis

  • Cardiovascular Disease and Stroke (S Prabhakaran, Section Editor)
  • Published:
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Abstract

Asymptomatic internal carotid artery stenosis increases with age and is more common in men. Carotid endarterectomy and stenting have reduced stroke rates in patients with asymptomatic carotid stenosis in clinical trials. A variety of risk stratification methods are available for selection of patients with carotid stenosis for revascularization. In the past decade, there is increasing evidence that the rate of stroke declined with the use of aggressive multi-modal medical therapy. These developments have led to new clinical trials to compare revascularization versus aggressive medical therapy in patients with asymptomatic carotid stenosis.

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Conflict of Interest

S. Dharmadhikari declares no conflicts of interest.

S. Chaturvedi has served as a CREST 2 executive committee member and consultant at Mayo Clinic and has received a consultant fee as Chair, CREST stroke adjudications committee from the University of Medicine and Dentistry of New Jersey.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Neurology & Stroke Program, University of Miami Miller School of Medicine, Miami, FL, USA

    Sushrut Dharmadhikari & Seemant Chaturvedi

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  1. Sushrut Dharmadhikari
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  2. Seemant Chaturvedi
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Correspondence to Seemant Chaturvedi.

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This article is part of the Topical Collection on Cardiovascular Disease and Stroke

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Dharmadhikari, S., Chaturvedi, S. Medical and Revascularization Therapies for Asymptomatic Carotid Stenosis. Curr Atheroscler Rep 17, 44 (2015). https://doi.org/10.1007/s11883-015-0522-9

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  • DOI: https://doi.org/10.1007/s11883-015-0522-9

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