What should we do with asymptomatic carotid stenosis?

Anne Abbott, Christopher Bladin, Christopher R Levi, Brian Chambers

Research output: Contribution to journalArticleResearchpeer-review

62 Citations (Scopus)

Abstract

Abstract The benefit of prophylactic carotid endarterectomy (CEA) for patients with asymptomatic severe carotid stenosis in the major randomised surgical studies was small, expensive and may now be absorbed by improvements in best practice medical intervention. Strategies to identify patients with high stroke risk are needed. If surgical intervention is to be considered the complication rates of individual surgeons should be available. Clinicians will differ in their interpretation of the same published data. Maintaining professional relationships with clinicians from different disciplines often involves compromise. As such, the management of a patient will, in part, depend on what kind of specialist the patient is referred to. The clinician s discussion with patients about this complex issue must be flexible to accommodate differing patient expectations. Ideally, patients prepared to undergo surgical procedures should be monitored in a trial setting or as part of an audited review process to increase our understanding of current practice outcomes.
Original languageEnglish
Pages (from-to)27 - 39
Number of pages13
JournalInternational Journal of Stroke
Volume2
Issue number1
Publication statusPublished - 2007

Cite this

Abbott, Anne ; Bladin, Christopher ; Levi, Christopher R ; Chambers, Brian. / What should we do with asymptomatic carotid stenosis?. In: International Journal of Stroke. 2007 ; Vol. 2, No. 1. pp. 27 - 39.
@article{3a1f3ecbaad54d41a67d7ee16cb85613,
title = "What should we do with asymptomatic carotid stenosis?",
abstract = "Abstract The benefit of prophylactic carotid endarterectomy (CEA) for patients with asymptomatic severe carotid stenosis in the major randomised surgical studies was small, expensive and may now be absorbed by improvements in best practice medical intervention. Strategies to identify patients with high stroke risk are needed. If surgical intervention is to be considered the complication rates of individual surgeons should be available. Clinicians will differ in their interpretation of the same published data. Maintaining professional relationships with clinicians from different disciplines often involves compromise. As such, the management of a patient will, in part, depend on what kind of specialist the patient is referred to. The clinician s discussion with patients about this complex issue must be flexible to accommodate differing patient expectations. Ideally, patients prepared to undergo surgical procedures should be monitored in a trial setting or as part of an audited review process to increase our understanding of current practice outcomes.",
author = "Anne Abbott and Christopher Bladin and Levi, {Christopher R} and Brian Chambers",
year = "2007",
language = "English",
volume = "2",
pages = "27 -- 39",
journal = "International Journal of Stroke",
issn = "1747-4930",
publisher = "Wiley-Blackwell",
number = "1",

}

What should we do with asymptomatic carotid stenosis? / Abbott, Anne; Bladin, Christopher; Levi, Christopher R; Chambers, Brian.

In: International Journal of Stroke, Vol. 2, No. 1, 2007, p. 27 - 39.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - What should we do with asymptomatic carotid stenosis?

AU - Abbott, Anne

AU - Bladin, Christopher

AU - Levi, Christopher R

AU - Chambers, Brian

PY - 2007

Y1 - 2007

N2 - Abstract The benefit of prophylactic carotid endarterectomy (CEA) for patients with asymptomatic severe carotid stenosis in the major randomised surgical studies was small, expensive and may now be absorbed by improvements in best practice medical intervention. Strategies to identify patients with high stroke risk are needed. If surgical intervention is to be considered the complication rates of individual surgeons should be available. Clinicians will differ in their interpretation of the same published data. Maintaining professional relationships with clinicians from different disciplines often involves compromise. As such, the management of a patient will, in part, depend on what kind of specialist the patient is referred to. The clinician s discussion with patients about this complex issue must be flexible to accommodate differing patient expectations. Ideally, patients prepared to undergo surgical procedures should be monitored in a trial setting or as part of an audited review process to increase our understanding of current practice outcomes.

AB - Abstract The benefit of prophylactic carotid endarterectomy (CEA) for patients with asymptomatic severe carotid stenosis in the major randomised surgical studies was small, expensive and may now be absorbed by improvements in best practice medical intervention. Strategies to identify patients with high stroke risk are needed. If surgical intervention is to be considered the complication rates of individual surgeons should be available. Clinicians will differ in their interpretation of the same published data. Maintaining professional relationships with clinicians from different disciplines often involves compromise. As such, the management of a patient will, in part, depend on what kind of specialist the patient is referred to. The clinician s discussion with patients about this complex issue must be flexible to accommodate differing patient expectations. Ideally, patients prepared to undergo surgical procedures should be monitored in a trial setting or as part of an audited review process to increase our understanding of current practice outcomes.

UR - http://www.blackwell-synergy.com/toc/ijs/2/1

M3 - Article

VL - 2

SP - 27

EP - 39

JO - International Journal of Stroke

JF - International Journal of Stroke

SN - 1747-4930

IS - 1

ER -