NYMC Faculty Publications

Carotid Stenosis: From Diagnosis to Management, Where do We Stand?

Author Type(s)

Faculty

DOI

10.1007/s11883-014-0480-7

Journal Title

Current Atherosclerosis Reports

First Page

480

Last Page

480

Document Type

Article

Publication Date

1-1-2015

Department

Neurology

Keywords

Angioplasty, Balloon, Carotid Artery Diseases, Carotid Stenosis, Endarterectomy, Carotid, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Mass Screening, Risk Assessment, Stents, Stroke

Disciplines

Medicine and Health Sciences

Abstract

Carotid atherosclerosis is implicated in 20-30 % of strokes. However, the annual risk of stroke in patients with asymptomatic carotid stenosis is less than 5 %. Symptomatic carotid stenosis poses a greater risk for recurrent stroke with estimates as high as 15 % per year. This paper aims to raise awareness of populations at risk for carotid stenosis, the role of carotid screening and the sensitivity and specificity of various diagnostic modalities. The results of previous trials that support current guidelines for management of symptomatic and asymptomatic carotid stenosis will also be reviewed.

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