remembered question(nxt step)??? - krishkamz

[ArchivalUser]

left carotid 70% obstructed right carotid 90%.....

[ArchivalUser]

so w z the Q?

[ArchivalUser]

rt endarterectomy with aspirin prophylaxis
and follow up

[ArchivalUser]

Treatment

Asymptomatic Patients

Patients with no neurologic symptoms but with carotid stenosis on imaging will benefit from carotid intervention if they are considered to be at low risk for intervention and their expected survival is greater than 5 years. Recommendation for intervention also presumes that the treating institution has a stroke rate in asymptomatic patients that is acceptable (< 3%). Large studies indicate a reduction in stroke from 11.5% to 5.0% over 5 years with surgical treatment of asymptomatic carotid stenoses of greater than 60%. However, the usual practice is to only treat those patients who have greater than 80% stenosis.

Symptomatic Patients

Patients with TIAs or strokes from which they have completely or nearly completely recovered will benefit from carotid intervention if the carotid stenosis, ipsilateral to the event, has a stenosis of 70%, and they are likely to derive benefit with a stenosis of 50“69%. In these situations, carotid endarterectomy has been shown to have a durable effect in preventing further events.