2024
Carotid artery stenting versus carotid endarterectomy for symptomatic or asymptomatic extracranial carotid stenosis: A national cohort study
Krittanawong C, Ang S, Tangsrivimol J, Qadeer Y, Wang Z, Virk H, Khalid U, Sharma S, Dardik A. Carotid artery stenting versus carotid endarterectomy for symptomatic or asymptomatic extracranial carotid stenosis: A national cohort study. Journal Of Stroke And Cerebrovascular Diseases 2024, 33: 108094. PMID: 39424210, DOI: 10.1016/j.jstrokecerebrovasdis.2024.108094.Peer-Reviewed Original ResearchAsymptomatic carotid stenosisCarotid artery stenosisCarotid stenosisArtery stenosisAdverse eventsCohort studyAsymptomatic extracranial carotid stenosisNational population-based cohort studyPopulation-based cohort studyAssociated with lower adverse eventsAssociated with high mortalityAlternative to CEAExtracranial carotid stenosisSymptomatic carotid stenosisMortality of patientsCarotid artery stentingLower adverse eventsNational cohort studyAsymptomatic patientsClinical characteristicsArtery stentingPatient populationCarotid endarterectomyStenosisPatients
2023
An international, multispecialty, expert-based Delphi Consensus document on controversial issues in the management of patients with asymptomatic and symptomatic carotid stenosis
Paraskevas K, Mikhailidis D, Ringleb P, Brown M, Dardik A, Poredos P, Gray W, Nicolaides A, Lal B, Mansilha A, Antignani P, de Borst G, Cambria R, Loftus I, Lavie C, Blinc A, Lyden S, Matsumura J, Jezovnik M, Bacharach J, Meschia J, Clair D, Zeebregts C, Lanza G, Capoccia L, Spinelli F, Liapis C, Jawien A, Parikh S, Svetlikov A, Menyhei G, Davies A, Musialek P, Roubin G, Stilo F, Sultan S, Proczka R, Faggioli G, Geroulakos G, Fernandes E Fernandes J, Ricco J, Saba L, Secemsky E, Pini R, Myrcha P, Rundek T, Martinelli O, Kakkos S, Sachar R, Goudot G, Schlachetzki F, Lavenson G, Ricci S, Topakian R, Millon A, Di Lazzaro V, Silvestrini M, Chaturvedi S, Eckstein H, Gloviczki P, White C. An international, multispecialty, expert-based Delphi Consensus document on controversial issues in the management of patients with asymptomatic and symptomatic carotid stenosis. Journal Of Vascular Surgery 2023, 79: 420-435.e1. PMID: 37944771, DOI: 10.1016/j.jvs.2023.09.031.Peer-Reviewed Original ResearchSymptomatic carotid stenosisManagement of patientsConsensus documentCarotid stenosisHospital stroke/deathStroke/deathThree-round Delphi consensus processDelphi consensus processGrade of stenosisCarotid interventionHigh riskPatientsInternational guidelinesStenosisControversial evidenceRound 2Round 1Round 3Consensus processMonthsMost expertsCurrent definitionSpecific responsesGuidelinesParticipantsRecent advances and controversial issues in the optimal management of asymptomatic carotid stenosis
Paraskevas K, Brown M, Lal B, Myrcha P, Lyden S, Schneider P, Poredos P, Mikhailidis D, Secemsky E, Musialek P, Mansilha A, Parikh S, Silvestrini M, Lavie C, Dardik A, Blecha M, Liapis C, Zeebregts C, Nederkoorn P, Poredos P, Gurevich V, Jawien A, Lanza G, Gray W, Gupta A, Svetlikov A, Fernandes E Fernandes J, Nicolaides A, White C, Meschia J, Cronenwett J, Schermerhorn M, AbuRahma A. Recent advances and controversial issues in the optimal management of asymptomatic carotid stenosis. Journal Of Vascular Surgery 2023, 79: 695-703. PMID: 37939746, DOI: 10.1016/j.jvs.2023.11.004.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsBest medical treatmentTranscarotid artery revascularizationAsymptomatic carotid stenosisCarotid revascularization proceduresRevascularization proceduresCarotid endarterectomyCarotid stenosisPatient subgroupsRisk prediction modelCognitive dysfunctionOptimal managementStroke risk prediction modelManagement of patientsSpecific patient subgroupsDuplex ultrasound examinationTreatment of patientsIndividual patient preferencesPubMed/PubMed CentralIndividual patient needsCarotid plaque ulcerationMagnetic resonance angiography scansArtery revascularizationSilent infarctsStroke riskCerebrovascular reserveSafety of Carotid Endarterectomy for Symptomatic Stenosis by Age: Meta-Analysis With Individual Patient Data
Leung Y, Bera K, Rodriguez D, Dardik A, Mas J, Simonte G, Rerkasem K, Howard D. Safety of Carotid Endarterectomy for Symptomatic Stenosis by Age: Meta-Analysis With Individual Patient Data. Stroke 2023, 54: 457-467. PMID: 36647921, PMCID: PMC9855737, DOI: 10.1161/strokeaha.122.040819.Peer-Reviewed Original ResearchConceptsIndividual patient dataSymptomatic elderly patientsSymptomatic carotid stenosisCarotid endarterectomyPerioperative strokeElderly patientsStroke riskMedical therapyCarotid stenosisMyocardial infarctionPatient dataStroke risk increasesRecurrent stroke riskSymptomatic stenosisInterventional armPerioperative deathsPerioperative riskAdverse eventsProspective cohortSymptomatic patientsRandomized trialsOutcome ratesObservational studyOctogenariansEndarterectomy