Carotid stenosis Flashcards Preview

Neurology > Carotid stenosis > Flashcards

Flashcards in Carotid stenosis Deck (2)
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1
Q

Overview of management

A

Medical management: hypertension, lipids**, smoking cessation
If 100% occlusion it is the ACA that is keeping you alive

Carotid endart:

  • pre op aspirin yes
  • DAPT 3 months post yes

Dissection:
-3 months hep/warf

Symptomatic TIA/stroke:

  • less than 50% sten no benefit
  • 50-69% benefit
  • 70-99% most benefit
  • most benefit if op within 2 weeks

Asymptomatic

  • trial stopped early because of high perioperative risk
  • 1% ARR per year so only to be considered in long life expectancy
  • NO evidence for women (no benefit shown)
2
Q

Stenting?

A

under 70 stenting may be better
over 70 endart may be better

may be higher stroke, MI, death in stent

au guidelines i think say no