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Asymptomatic Carotid Stenosis in Peripheral Vascular Disease

Prevalence, Incidence and Natural History

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Abstract

It is well established that patients presenting with symptomatic atherosclerotic disease in a particular region of the arterial tree may be suffering from symptomatic disease at other sites. Improvements in diagnostic techniques have now allowed for the detection of asymptomatic disease in these patients at high risk of cardiovascular events.

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References

  • Asymptomatic Carotid Atherosclerosis Study Group (1989) Study design for randomized prospective trial of carotid endarterectomy for asymptomatic atherosclerosis. Stroke 20:844–9

    Article  Google Scholar 

  • Barnes RW, Marszalek PB, Rittgeers SZ (1980) Asymptomatic carotid disease in preoperative patients. Stroke 11.136A

    Google Scholar 

  • Bogousslavsky J, Despland P-A, Regli F (1986) Asymptomatic tight stenosis of the internal carotid artery: long-term prognosis. Neurology 36:861–3

    PubMed  CAS  Google Scholar 

  • Chambers BR, Norris JW (1986) Outcome in patients with asymptomatic neck bruits. N Engl J Med 315:860–5

    Article  PubMed  CAS  Google Scholar 

  • Colgan MP, Strode GR, Sommer JD, Gibbs JL, Sumner DS (1988) Prevalence of asymptomatic carotid disease: results of duplex scanning in 348 unselected volunteers. J Vase Surg 8:674–8

    CAS  Google Scholar 

  • Deriu GP, Ballotta E, Facco E et al. (1988) Stroke risk reduction in asymptomatic and symptomatic patients treated surgically: The effectiveness of carotid endarterectomy with patch graft angioplasty. Eur J Vase Surg 2:87–91

    Google Scholar 

  • Durward QJ, Ferguson GG, Barr HWK (1982) The natural history of asymptomatic carotid bifurcation plaques. Stroke 13:459–64

    Article  PubMed  CAS  Google Scholar 

  • Ellis M, Greenhalgh RM (1987) Management of asymptomatic carotid bruits. J Vase Surg 5:869–73

    CAS  Google Scholar 

  • Ellis MR, Meek A, Greenhalgh RM (1988) Asymptomatic carotid artery disease. In: Greenhalgh RM (ed) Indications for vascular surgery. WB Saunders, London, pp 3–14

    Google Scholar 

  • Faggioli GL, Curl GR, Ricotta JJ (1990) The role of carotid screening before coronary artery bypass. J Vase Surg 12:724–31

    Article  CAS  Google Scholar 

  • Fell G, Breslau P, Knox RA, Phillips D, Thiele BL, Strandness DE (1981) Importance of noninvasive ultrasonic-Doppler testing in the evaluation of patients with asymptomatic carotid bruits. Am Heart J 102:221–6

    Article  PubMed  CAS  Google Scholar 

  • Forsell C, Takolander R, Bergqvist D, Bergentz S-E, Olivecrona H (1988) Long-term results after carotid artery surgery. Eur J Vase Surg 2:93–8

    Article  Google Scholar 

  • Hennerici M, Aulich A, Sandeman W, Freund H-J (1981) Incidence of asymptomatic extracranial arterial disease. Stroke 12:750–8

    Article  PubMed  CAS  Google Scholar 

  • Hennerici M, Rautenberg W, Mohr S (1982) Stroke risk from symptomless extracranial arterial lesions. Lancet ii: 1180–3

    Article  Google Scholar 

  • Heyman A, Wilkinson WTE, Heyden S et al. (1980) Risk of stroke in asymptomatic persons with cervical arterial bruits. N Engl J Med 302:838–41

    Article  PubMed  CAS  Google Scholar 

  • Humphries AW, Young JR, Santilli PH, Beven EG, deWolfe VG (1976) Unoperated, asymptomatic significant internal carotid stenosis: a review of 182 instances. Surgery 80:695–8

    PubMed  CAS  Google Scholar 

  • Josse MO, Touboul PJ, Mas JL, Laplane D, Bousser MG (1987) Prevalence of asymptomatic internal artery stenosis. Neuroepidemiology 6:150–2

    Article  PubMed  CAS  Google Scholar 

  • Klop RBJ, Eikelboom BC, Taks ACJM (1991) Screening of the internal carotid arteries in patients with peripheral vascular disease by colour-flow Duplex scanning. Eur J Vase Surg 5:41–5

    Article  CAS  Google Scholar 

  • Knudsen L, Sillesen H, Schroeder T, Hansen HJB (1990) Eight to ten years follow-up after carotid endarterectomy: Clinical evaluation and Doppler examination of patients operated on between 1978–1980. Eur J Vase Surg 4:259–64

    Article  CAS  Google Scholar 

  • Maini BS, Mullins TF, Catlin J, O’Mara P (1990) Carotid endarterectomy: a ten-year analysis of outcome and cost of treatment. J Vase Surg 12:732–40

    Article  CAS  Google Scholar 

  • Moll F, Eikelboom BC, Vermeulen FEE, van Lier HJJ, Schulte BPM (1987) Risk factors in asymptomatic patients with carotid bruit. Eur J Vase Surg 1:33–9

    Article  CAS  Google Scholar 

  • Moore WS, Boren C, Malone JM, Goldstone J (1979) Asymptomatic carotid stenosis. Immediate and long-term results after prophylactic endarterectomy. Am J Surg 138:228–33

    Article  PubMed  CAS  Google Scholar 

  • Rubin JR, Bondi JA, Rhodes RS (1987) Duplex scanning versus conventional arteriography for the evaluation of carotid artery plaque morphology. Surgery 102:749–55

    PubMed  CAS  Google Scholar 

  • Sandercock P (1987) Asymptomatic carotid stenosis: spare the knife. Br Med J 294:1368–9

    Article  CAS  Google Scholar 

  • Sandmann W (1987) Asymptomatic carotid stenosis: Is prophylactic surgery indicated? Eur J Vase Surg 1:147–9

    Article  CAS  Google Scholar 

  • Strandness (1991) The NASCET Trial. Presented to the Society for Vascular Surgery, Boston 1991

    Google Scholar 

  • Towne JB, Weiss DG, Hobson RW (1990) First phase report of cooperative Veterans Administration asymptomatic carotid stenosis study — operative morbidity and mortality. J Vase Surg 11:252–9

    CAS  Google Scholar 

  • Wolf PA, Kannel WB, Sorlie P, McNamara P (1981) Asymptomatic carotid bruit and risk of stroke. The Framingham Study. JAMA 245:1442–5

    Article  PubMed  CAS  Google Scholar 

  • Zhu CZ, Norris JW (1990) Role of carotid stenosis in ischemic stroke. Stroke 21:1131–4

    Article  PubMed  CAS  Google Scholar 

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© 1991 Springer-Verlag London Limited

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Franks, P.J., Ellis, M.R., Cuming, R., Powell, J.T., Greenhalgh, R.M. (1991). Asymptomatic Carotid Stenosis in Peripheral Vascular Disease. In: Fowkes, F.G.R. (eds) Epidemiology of Peripheral Vascular Disease. Springer, London. https://doi.org/10.1007/978-1-4471-1889-3_30

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  • DOI: https://doi.org/10.1007/978-1-4471-1889-3_30

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1891-6

  • Online ISBN: 978-1-4471-1889-3

  • eBook Packages: Springer Book Archive

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