Articles Tagged With: carotid
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Men Are More Likely to Have High-Risk and Dangerous Carotid Artery Plaques than Women
Investigators in the Netherlands investigated the differences between atherosclerotic plaque burden and plaque morphology between men and women who had recent ischemic stroke symptoms and less than 70% ipsilateral carotid artery stenosis.
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Medical Therapy vs. Carotid Endarterectomy in Patients with Asymptomatic Carotid Stenosis
Since the pivotal trials demonstrating the benefit of endarterectomy vs. medical therapy many years ago, there has been significant improvement in the risk factors for atherosclerosis, including better treatment of blood pressure and diabetes, as well as improved antiplatelet medication regimens and high-potency statins.
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An Anatomical Review of Trauma to the Mouth and Throat
Trauma to the mouth and throat is very common. Fortunately, the majority of the injuries are minor, but early and timely recognition of critical, potentially devastating injuries is essential. The authors provide a thorough review highlighting critical injuries and their management.
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Carotid Endarterectomy vs. Medical Therapy in Patients with Asymptomatic Carotid Stenosis
Multiple randomized clinical trials have demonstrated that carotid endarterectomy is beneficial in patients who have symptomatic carotid stenosis, and currently, that is the recommendation for such patients. However, in the intervening years, advances in medical therapy, as well as significant improvement in the management of blood pressure, diabetes, diet, and exercise, have been shown to reduce stroke rate. Therefore, it is currently controversial whether carotid endarterectomy is still beneficial in asymptomatic patients with carotid artery stenosis compared to current medical management.
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Similar Long-term Outcomes for Stenting and Endarterectomy for Carotid Stenosis
Periprocedural risk is higher in patients undergoing carotid artery stenting compared to carotid endarterectomy.
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Syncope
Relying on the most current literature, this article discusses the causes of syncope and syncope mimics, provides the best practice evaluation strategies, and will refamiliarize emergency physicians with current state-of-the-art practices regarding syncope risk stratification guidelines.
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Evaluation and Management of Cervical Artery Dissection in the Emergency Department
The goal of this paper is to help emergency physicians in their diagnosis, management, and treatment of this rare but potentially devastating condition.