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Natural History and Treatment of Extracranial Cerebrovascular Disease in the Elderly

  • George H. Meier

Abstract

Cerebrovascular disease, specifically stroke, continues to increase despite improvements in the treatment and outcomes of cardiovascular disease in general. Many believe that the development of cerebrovascular atherosclerosis is simply a normal consequence of aging, as the incidence of stroke increases with age, rising almost sevenfold between the ages of 55 and 85.1 Despite a nearly 20% reduction in the death rate from stroke over the past 20 years, cerebrovascular disease remains the third leading cause of death in the United States.2 It is therefore not surprising that carotid endarterectomy remains the most common peripheral vascular operation done in the United States.3 Current estimates suggest that the population over the age of 65 will increase more than threefold over the next 25 years,4 during which time the increase in cerebrovascular disease will result in a marked impact on medical care. The correct and cost-effective management of cerebrovascular disease is therefore increasingly important as the population ages.

Keywords

Internal Carotid Artery Cerebrovascular Disease Carotid Endarterectomy Carotid Stenosis Carotid Artery Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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  • George H. Meier

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