Carotid artery stenting: the 2011 NICE guidelines

The evidence on efficacy is inadequate. [...]this procedure should only be used with special arrangements for clinical governance, consent and audit or research. Asymptomatic extracranial carotid artery stenosis Although medical treatment has improved considerably, younger patients with tight asympt...

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Veröffentlicht in:	Heart (British Cardiac Society) 2012-02, Vol.98 (4), p.274-275
Hauptverfasser:	Neequaye, Simon K, Halliday, Alison W
Format:	Artikel
Sprache:	eng
Schlagworte:	Audits Blood Vessel Prosthesis Implantation - standards Cardiology Carotid Carotid arteries carotid artery disease carotid endarterectomy Carotid Stenosis - surgery carotid stent carotid stenting CAS CEA Consent Humans Intervention Medical treatment Patients Practice Guidelines as Topic stent Stents Stents - standards Stroke Surgery transient ischaemic attack (TIA) United Kingdom Veins & arteries
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Beschreibung
Zusammenfassung:	The evidence on efficacy is inadequate. [...]this procedure should only be used with special arrangements for clinical governance, consent and audit or research. Asymptomatic extracranial carotid artery stenosis Although medical treatment has improved considerably, younger patients with tight asymptomatic carotid stenosis have a significant reduction in 10-year stroke risk from surgery in comparison with medical treatment alone. 3 The NICE guidance committee considers there is inadequate evidence to support CAS in preference to CEA.
ISSN:	1355-6037 1468-201X
DOI:	10.1136/heartjnl-2011-301218