Linked Life Data

18082836

Source:http://linkedlifedata.com/resource/pubmed/id/18082836

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2007-12-17
pubmed:abstractText
Refinements in the technique of carotid endarterectomy have been accompanied by a growing literature calling into question the notion that a broad class of patients is at high-risk for surgery due to clinical comorbidities. Moreover, progress in the percutaneous revascularization of carotid bifurcation disease has highlighted the need for direct comparisons between endarterectomy and stenting across the entire spectrum of perioperative risk. The improved safety of carotid stenting, to some extent due to the advent of cerebral protection devices, has further altered the risk-to-benefit analysis. Lastly, dramatic improvements in medical therapy for the systemic manifestations of atherosclerosis have prompted a reevaluation of carotid revascularization as the standard of care for patients with severe carotid bifurcation stenosis. Endarterectomy and stenting each have unique procedure-specific factors that determine whether a patient is at increased risk for perioperative complications. Determining which patients are at high-risk for these modalities will impact the individualized treatment algorithm. This article examines the anatomical and physiologic conditions that can affect the anticipated outcome of each treatment modality. Ultimately, a tailored approach to each patient's clinical situation is likely to result in the best outcome following treatment.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0895-7967
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
199-204
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
A critical look at "high-risk" in choosing the proper intervention for patients with carotid bifurcation disease.
pubmed:affiliation
Division of Vascular Surgery, Department of Surgery, New York Hospital Queens, Flushing, NY 11355, USA. grl9006@nyp.org
pubmed:publicationType
Journal Article, Review