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.
引用
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页数:6
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共 48 条
[41]   Heart disease and stroke statistics - 2007 update - A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee [J].
Rosamond, Wayne ;
Flegal, Katherine ;
Friday, Gary ;
Furie, Karen ;
Go, Alan ;
Greenlund, Kurt ;
Haase, Nancy ;
Ho, Michael ;
Howard, Virginia ;
Kissela, Bret ;
Kittner, Steven ;
Lloyd-Jones, Donald ;
McDermott, Mary ;
Meigs, James ;
Moy, Claudia ;
Nichol, Graham ;
O'Donnell, Christopher J. ;
Roger, Veronique ;
Rumsfeld, John ;
Sorlie, Paul ;
Steinberger, Julia ;
Thom, as Thom ;
Wasserthiel-Smoller, Sylvia ;
Hong, Yuling .
CIRCULATION, 2007, 115 (05) :E69-E171
[42]   Smoking, diabetes, and blood cholesterol differ in their associations with subclinical atherosclerosis: The Multiethnic Study of Atherosclerosis (MESA) [J].
Sharrett, AR ;
Ding, JZ ;
Criqui, MH ;
Saad, MF ;
Liu, K ;
Polak, JF ;
Folsom, AR ;
Tsai, MY ;
Burke, GL ;
Szklo, M .
ATHEROSCLEROSIS, 2006, 186 (02) :441-447
[43]   Screening for Abdominal Aortic Aneurysm in 65-Year-old Men Remains Cost-effective with Contemporary Epidemiology and Management [J].
Svensjo, S. ;
Mani, K. ;
Bjorck, M. ;
Lundkvist, J. ;
Wanhainen, A. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2014, 47 (04) :357-365
[44]   ASYMPTOMATIC CAROTID BRUIT - LONG-TERM OUTCOME OF PATIENTS HAVING ENDARTERECTOMY COMPARED WITH UNOPERATED CONTROLS [J].
THOMPSON, JE ;
PATMAN, RD ;
TALKINGTON, CM .
ANNALS OF SURGERY, 1978, 188 (03) :308-316
[45]   Differential outcomes of carotid stenting and endarterectomy performed exclusively by vascular surgeons in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) [J].
Timaran, Carlos H. ;
Mantese, Vito A. ;
Malas, Mahmoud ;
Brown, O. William ;
Lal, Brajesh K. ;
Moore, Wesley S. ;
Voeks, Jenifer H. ;
Brott, Thomas G. .
JOURNAL OF VASCULAR SURGERY, 2013, 57 (02) :303-308
[46]   ENDARTERECTOMY FOR ASYMPTOMATIC CAROTID-ARTERY STENOSIS [J].
WALKER, MD ;
MARLER, JR ;
GOLDSTEIN, M ;
GRADY, PA ;
TOOLE, JF ;
BAKER, WH ;
CASTALDO, JE ;
CHAMBLESS, LE ;
MOORE, WS ;
ROBERTSON, JT ;
YOUNG, B ;
HOWARD, VJ ;
PURVIS, S ;
VERNON, DD ;
NEEDHAM, K ;
BECK, P ;
DOZIER, M ;
LEFKOWITZ, DS ;
HOWARD, G ;
CROUSE, JR ;
HERRINGTON, DM ;
FURBERG, CD ;
ESSICK, K ;
HICKS, RM ;
NELSON, JJ ;
BALL, W ;
BLAND, E ;
CONDON, S ;
ELLIOTT, T ;
GRIZZLE, JE ;
HAYES, D ;
HENLEY, S ;
JOHNSON, J ;
LOCKLEAR, J ;
MISCH, MS ;
PATON, CC ;
SCHWARTZ, S ;
WALKER, C ;
WILLIAMS, OD ;
EASTON, JD ;
GOLDSTONE, J ;
HALLENBECK, JM ;
HOFF, JT ;
KARP, HR ;
KRONMAL, RA ;
BROTT, TG ;
TOMSICK, TA ;
BRODERICK, J ;
SAUERBECK, L ;
BLUM, C .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (18) :1421-1428
[47]   Cost-effectiveness of screening for asymptomatic carotid stenosis [J].
Yin, DP ;
Carpenter, JP .
JOURNAL OF VASCULAR SURGERY, 1998, 27 (02) :245-255
[48]   Association of carotid duplex ultrasonography screening with stroke and mortality among patients undergoing coronary artery bypass grafting [J].
Zhang, Heng ;
Zhang, Danwei ;
Qu, Jianyu ;
Wang, Jingjin ;
Rao, Chenfei ;
Chen, Sipeng ;
Zhao, Yan ;
Li, Haojie ;
Gao, Ge ;
Liu, Sheng ;
Qian, Xiangyang ;
Zheng, Zhe .
JOURNAL OF VASCULAR SURGERY, 2024, 80 (01) :153-162.e4