Screening for asymptomatic carotid stenosis: routine or selective?

被引:0
作者
Perler, Bruce A. [1 ]
机构
[1] Johns Hopkins Univ Hosp, Dept Surg, Div Vasc Surg & Endovasc Therapy, 600 N Wolfe St, Baltimore, MD 21287 USA
关键词
Subclavian steal syndrome; Carotid endarterectomy; Drug therapy; ARTERY STENOSIS; COST-EFFECTIVENESS; STROKE-PREVENTION; TEMPORAL TRENDS; RISK-FACTORS; DISEASE; ENDARTERECTOMY; PREVALENCE; ATHEROSCLEROSIS; POPULATION;
D O I
10.23736/S0392-9590.25.05400-8
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The current review discusses the advantages and disadvantages of routine vs. selective screening for asymptomatic carotid artery stenosis. The cost-effectiveness of screening programs is discussed. Furthermore, the rationale of offering selective screening, as well as the current recommendations regarding screening for asymptomatic carotid stenosis are presented. A selective screening strategy would identify individuals at high cardiovascular disease (CVD) risk early and would allow the timely initiation of conservative lifestyle measures and best medical therapy to prevent both stroke and CVD morbidity and mortality.
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页数:6
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共 48 条
  • [1] Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis
    Abbott, Anne L.
    Brunser, Alejandro M.
    Giannoukas, Athanasios
    Harbaugh, Robert E.
    Kleinig, Timothy
    Lattanzi, Simona
    Poppert, Holger
    Rundek, Tatjana
    Shahidi, Saeid
    Silvestrini, Mauro
    Topakian, Raffi
    [J]. JOURNAL OF VASCULAR SURGERY, 2020, 71 (01) : 257 - 269
  • [3] The Society for Vascular Surgery implementation document for management of extracranial cerebrovascular disease
    AbuRahma, Ali F.
    Avgerinos, Efthymios D.
    Chang, Robert W.
    Darling, R. Clement, III
    Duncan, Audra A.
    Forbes, Thomas L.
    Malas, Mahmoud B.
    Perler, Bruce Alan
    Powell, Richard J.
    Rockman, Caron B.
    Zhou, Wei
    [J]. JOURNAL OF VASCULAR SURGERY, 2022, 75 (01) : 26S - 98S
  • [4] Benjamin EJ, 2017, CIRCULATION, V135, pE146, DOI [10.1161/CIR.0000000000000558, 10.1161/CIR.0000000000000530, 10.1161/CIR.0000000000000485]
  • [5] Ultrasound Characteristics of Symptomatic Carotid Plaques: A Systematic Review and Meta-Analysis
    Brinjikji, Waleed
    Rabinstein, Alejandro A.
    Lanzino, Giuseppe
    Murad, Mohammad H.
    Williamson, Eric E.
    DeMarco, J. Kevin
    Huston, John, III
    [J]. CEREBROVASCULAR DISEASES, 2015, 40 (3-4) : 165 - 174
  • [6] Brott TG, 2011, ASA/ACCF/AHA/AANN/AANS/ACR/ ASNR/CNS/SAIP /
  • [7] OUTCOME IN PATIENTS WITH ASYMPTOMATIC NECK BRUITS
    CHAMBERS, BR
    NORRIS, JW
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (14) : 860 - 865
  • [8] Prevalence of Asymptomatic Carotid Artery Stenosis in the General Population An Individual Participant Data Meta-Analysis
    de Weerd, Marjolein
    Greving, Jacoba P.
    Hedblad, Bo
    Lorenz, Matthias W.
    Mathiesen, Ellisiv B.
    O'Leary, Daniel H.
    Rosvall, Maria
    Sitzer, Matthias
    Buskens, Erik
    Bots, Michiel L.
    [J]. STROKE, 2010, 41 (06) : 1294 - 1297
  • [9] Prevalence of Asymptomatic Carotid Artery Stenosis According to Age and Sex Systematic Review and Metaregression Analysis
    de Weerd, Marjolein
    Greving, Jacoba P.
    de Jong, Anne W. F.
    Buskens, Erik
    Bots, Michiel L.
    [J]. STROKE, 2009, 40 (04) : 1105 - 1113
  • [10] Cost-effectiveness of screening for asymptomatic carotid atherosclerotic disease
    Derdeyn, CP
    Powers, WJ
    [J]. STROKE, 1996, 27 (11) : 1944 - 1950