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Carotid Disease Management: Surgery, Stenting, or Medication

Current Cardiology Reports volume 17, Article number: 70 (2015) Cite this article

Abstract

Internal carotid artery stenosis accounts for about 7–10 % of ischemic strokes. Conventional risk factors such as aging, hypertension, diabetes mellitus, and smoking increase the risk for carotid atherosclerosis. All patients with carotid stenosis should receive aggressive medical therapy. Carotid revascularization with either endarterectomy or stenting can benefit select patients with severe stenosis. New clinical trials will examine the contemporary role of carotid revascularization relative to optimal medical therapy.

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Compliance with Ethics Guidelines

Conflict of Interest

Priyank Khandelwal declares that he has no conflict of interest. Seemant Chaturvedi is a member of the Executive Committee for the CREST 2 and ACT 1 studies. He is also Chair of the Stroke adjudication committee for the CREST study.

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 and Stroke Program, University of Miami Miller School of Medicine, 1120 NW 14th St., Room 1363, Miami, FL, 33136, USA

    Priyank Khandelwal & Seemant Chaturvedi

  2. Miami Veterans Affairs Hospital, Miami, USA

    Seemant Chaturvedi

Authors
  1. Priyank Khandelwal
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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 Stroke

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Khandelwal, P., Chaturvedi, S. Carotid Disease Management: Surgery, Stenting, or Medication. Curr Cardiol Rep 17, 70 (2015). https://doi.org/10.1007/s11886-015-0625-5

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  • DOI: https://doi.org/10.1007/s11886-015-0625-5

Keywords

  • Carotid stenosis
  • Endarterectomy
  • Carotid stenting
  • Statins
  • Atherosclerosis
  • Stroke