Kirurgi snart även primärprevention vid slaganfall av höggradig karotisstenos

Translated title of the contribution: Surgical interventions also in primary prevention of stroke caused by significant carotid artery stenosis

Anders Gottsäter, Thomas Mätzsch

Research output: Contribution to journalArticlepeer-review

Abstract

Indications for and the results of carotid endarterectomy in symptomatic and asymptomatic carotid artery stenosis are reviewed. The main indication for carotid endarterectomy is symptomatic stenosis of a carotid artery with >70 percent lumen reduction according to the NASCET method, or >85 percent lumen reduction according to the ECST method. The operation should ideally be performed within two weeks after the onset of symptoms. Preliminary results from the ACST study, indicating significant beneficial effects of carotid endarterectomy also in asymptomatic carotid artery stenosis have been orally presented. Assessment of and surgery upon Swedish patients with significant carotid artery stenosis should be performed in specialised multidisciplinary »carotid artery centers«. Endovascular treatment of carotid artery stenosis should at the
present stage only be performed within clinical trials.
Translated title of the contributionSurgical interventions also in primary prevention of stroke caused by significant carotid artery stenosis
Original languageSwedish
Pages (from-to)1821-2, 1825
JournalLäkartidningen
Volume101
Issue number20
Publication statusPublished - 2004

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Unit for Clinical Vascular Disease Research (013242410), Emergency medicine/Medicine/Surgery (013240200)

Subject classification (UKÄ)

  • Cardiac and Cardiovascular Systems
  • Clinical Medicine

Free keywords

  • Carotid Stenosis: surgery
  • Cerebrovascular Accident: etiology
  • Cerebrovascular Accident: prevention & control
  • Carotid Stenosis: complications
  • Carotid: adverse effects
  • Endarterectomy
  • Cerebrovascular Accident: surgery
  • Carotid: methods
  • English Abstract
  • Human
  • Prognosis
  • Quality of Life

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