作者
Anne L Abbott, Kosmas I Paraskevas, Stavros K Kakkos, Jonathan Golledge, Hans-Henning Eckstein, Larry J Diaz-Sandoval, Longxing Cao, Qiang Fu, Tissa Wijeratne, Thomas W Leung, Miguel Montero-Baker, Byung-Chul Lee, Sabine Pircher, Marije Bosch, Martine Dennekamp, Peter Ringleb
发表日期
2015/11
来源
Stroke
卷号
46
期号
11
页码范围
3288-3301
出版商
Lippincott Williams & Wilkins
简介
Background and Purpose
We systematically compared and appraised contemporary guidelines on management of asymptomatic and symptomatic carotid artery stenosis.
Methods
We systematically searched for guideline recommendations on carotid endarterectomy (CEA) or carotid angioplasty/stenting (CAS) published in any language between January 1, 2008, and January 28, 2015. Only the latest guideline per writing group was selected. Each guideline was analyzed independently by 2 to 6 authors to determine clinical scenarios covered, recommendations given, and scientific evidence used.
Results
Thirty-four eligible guidelines were identified from 23 different regions/countries in 6 languages. Of 28 guidelines with asymptomatic carotid artery stenosis procedural recommendations, 24 (86%) endorsed CEA (recommended it should or may be provided) for ≈50% to 99% average-surgical-risk asymptomatic …
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