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The surgical mortality of endarterectomy ranges from 1–2% to as much as 10%. Two large randomized clinical trials have demonstrated that carotid surgery done with a 30-day stroke and death risk of 3% or less will benefit asymptomatic people with ≥60% stenosis who are expected to live at least 5 years after surgery.
In symptomatic patients with a 70–99% stenosis, for every six people treated, one major stroke would be prevented at two years (i.e., a number needed to treat of six). [ 3 ] Unlike asymptomatic patients, symptomatic people with moderate carotid stenosis (50–69%) still benefit from endarterectomy, albeit to a lesser degree, with a number ...
Carotid ultrasound is a low-cost, noninvasive, and accurate diagnostic imaging modality used to evaluate diseases of the carotid arteries. [2] It is most often used to diagnose carotid artery stenosis, a form of atherosclerosis, and has the capability to assess plaque morphology and characteristics. [1] Carotid artery stenosis is a major risk ...
Carotid artery stenting is an endovascular procedure where a stent is deployed within the lumen of the carotid artery to treat narrowing of the carotid artery and decrease the risk of stroke. It is used to treat narrowing of the carotid artery in high-risk patients, when carotid endarterectomy is considered too risky.
The incidence of spontaneous carotid artery dissection is low, and incidence rates for internal carotid artery dissection have been reported to be around 2.6 to 2.9 incidents per 100,000. [14] Though the incidence is low, it is the cause of the vast majority of strokes in young people. [15]
The carotid artery is the usual site of measurement of IMT and consensus statements for carotid IMT have been published for adults [12] and children. [13] Often, carotid IMT is measured in three locations: in the common carotid artery (typically at one cm proximal to the flow divider), at the bifurcation, and in the internal carotid artery.
VBI results from narrowing of posterior circulation arteries, known as stenosis. The most common cause of arterial stenosis is atherosclerosis, however other pathologies such as fibromuscular dysplasia, dissection, trauma or external compression may occur. [2] Atherosclerotic plaque can rupture, resulting in a source of emboli. These emboli can ...
The term "binary" means that patients are placed in 2 groups, those who have ≥50% stenosis and those who have <50% stenosis. Binary restenosis is an epidemiological method of analyzing percent diameter stenosis for observing not only an individual patient, but also performing statistical techniques on a group of patients to determine averages ...