A Protocol-Based Decision for Choosing a Proper Surgical Treatment Option for Carotid Artery Stenosis
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 101-107, 2015.
Article
en En
| WPRIM
| ID: wpr-34160
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: There are two established surgical treatment options for carotid artery stenosis. Carotid endarterectomy (CEA) has been accepted as a gold standard for surgical treatment while carotid artery stenting (CAS) has recently become an alternative option. Each treatment option has advantages and disadvantages for the treatment outcomes. We propose a protocol for selection of a proper surgical treatment option for carotid artery stenosis. MATERIALS AND METHODS: A total of 192 published articles on management of carotid artery stenosis were reviewed. Preoperatively considerable factors which had been repeatedly noted in those articles for the risk/benefits of CEA or CAS were selected. According to those factors, a protocol with four categories was established. RESULTS: CEA or CAS is indicated when the patient has a symptomatic stenosis > or = 50%, or when the patient has an asymptomatic stenosis > or = 80%. Each treatment option has absolute indications and favorable indications. Each absolute indication is scored with three points, and each favorable indication, one point. Based on the highest scores, a proper treatment option (CEA or CAS) is selected. CONCLUSION: We have been treating patients according to this protocol and evaluating the outcomes of our protocol-based decision because this protocol might be helpful in assessment of risk/benefit for selection of a proper surgical treatment option in patients with carotid artery stenosis.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Arterias Carótidas
/
Stents
/
Endarterectomía Carotidea
/
Estenosis Carotídea
/
Constricción Patológica
Tipo de estudio:
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Año:
2015
Tipo del documento:
Article