Liječnički vjesnik, Vol. 139 No. 3-4, 2017.
Stručni rad
GUIDELINES FOR TREATMENT OF CAROTID ARTERY STENOSIS
Ivan Cvjetko
Miljenko Kovačević
Sani Penović
Marko Ajduk
Hrvoje Palenkić
Lidija Erdelez
Krešimir Pinotić
Andrija Škopljanac-Mačina
Ivo Lovričević
Mladen Petrunić
Sažetak
Carotid artery stenosis is a risk factor for developing a stroke. Large randomized studies have shown that carotid endarterectomy (CEA) plays a significant role in preventing a stroke. Carotid endarterectomy decreases the risk of stroke and increases the quality of life after surgery. During the past decades carotid artery stenting (CAS) has evolved as a less invasive way of treating extracranial artery stenosis. Carotid artery stenting is supposed to be less invasive but equally successful and durable (randomized studies are expected to support this statement). Carotid artery stenting is being performed by vascular surgeons, general surgeons, neurosurgeons, cardiologists, radiologists etc1. In addition to these guidelines we provide indications for CEA (especially within 2 weeks after the onset of symptoms) and indications for the treatment of restenosis after CEA or CAS. Indications were presented and accepted by the members of the Croatian Society for Vascular Surgery (CSVS) during the meeting in Vodice in May, 2016. Making of these guidelines is not financially supported. The guidelines are primarily intended for vascular surgeons and interventional radiologists to provide a unified stance in the treatment of patients with a significant narrowing of the internal carotid artery.
Ključne riječi
Carotid stenosis – complications, diagnosis, surgery; Carotid artery, internal – pathology; Stroke – etiology, prevention and control; Endarterectomy, carotid; Stents; Asymptomatic diseases; Vascular surgical procedures – methods, standards; Recurrence; Treatment outcome; Practice guidelines as topic; Croatia
Hrčak ID:
184303
URI
Datum izdavanja:
8.5.2017.
Posjeta: 8.861 *