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Asymptomatic patients: severity of carotid artery stenosis, assessment of other medical conditions, life expectancy, and other individual factors; evaluation of the risks versus benefits; and patient preference are considered when determining whether surgical intervention should be performed.
Observational studies and case reports published since the early 1980s show that patients with spontaneous internal carotid artery dissection may also have a history of stroke in their family and/or hereditary connective tissue disorders, such as Marfan syndrome, Ehlers-Danlos syndrome, autosomal dominant polycystic kidney disease ...
While this may be useful in detecting unknown carotid disease, it is not accurate enough to rule out disease. [1] It is estimated that 44% of patients who do not have a bruit on auscultation will still have significant stenosis of the carotid artery. [1] Carotid endarterectomy. This is a surgical procedure that is used to restore blood flow in ...
Carotid endarterectomy is used to reduce the risk of strokes caused by carotid artery stenosis over time. Carotid stenosis can either have symptoms (i.e., be symptomatic), or be found by a doctor in the absence of symptoms (asymptomatic) - and the risk-reduction from endarterectomy is greater for symptomatic than asymptomatic patients.
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.
This is primarily because carotid agenesis may be an incidental finding in a patient that is asymptomatic due to collateral blood flow that develops through the vertebrobasilar system. [ 3 ] [ 4 ] Treatment is therefore focused on managing the neurological symptoms of the disease, including medications to treat blood pressure, cholesterol, or ...