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Management of carotid stenosis in women. JAMA Surg 2013 Aug;148(8):788-90

Date

06/28/2013

Pubmed ID

23804123

DOI

10.1001/jamasurg.2013.342

Scopus ID

2-s2.0-84882996382   12 Citations

Abstract

The management of carotid stenosis in women remains a topic of controversy. In this review article, we aimed to define carotid disease burden in women, review outcomes of carotid endarterectomy and carotid artery stenting in women, discuss differences in practice patterns based on sex, and provide guidelines for management of women with carotid stenosis. Symptomatic women with high-grade stenosis derive benefit from carotid endarterectomy, although they have different risk profiles than men and are often not taking appropriate medical therapy. Women with asymptomatic carotid artery stenosis have less stroke risk reduction with CEA than their male counterparts; therefore, they should be screened for other treatable risk factors for stroke, with the institution of lifestyle changes and the appropriate medical therapy. After medical optimization, the decision to proceed with CEA in asymptomatic women must be made by carefully assessing that the benefits of stroke risk reduction outweigh perioperative risks.

Author List

Kuy S, Seabrook GR, Rossi PJ, Lewis BD, Dua A, Brown KR

Authors

Kellie R. Brown MD Professor in the Surgery department at Medical College of Wisconsin
Brian D. Lewis MD Professor in the Surgery department at Medical College of Wisconsin
Peter J. Rossi MD Chief, Associate Professor in the Surgery department at Medical College of Wisconsin
Gary R. Seabrook MD Chief, Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Carotid Stenosis
Cost of Illness
Endarterectomy, Carotid
Endovascular Procedures
Female
Humans
Practice Patterns, Physicians'
Risk Factors
Sex Factors
Stents
jenkins-FCD Prod-398 336d56a365602aa89dcc112f077233607d6a5abc