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Asymptomatic Cervical Carotid Stenosis 

Asymptomatic Cervical Carotid Stenosis
Asymptomatic Cervical Carotid Stenosis

Kunal Vakharia

, Sabareesh K. Natarajan

, Hussain Shallwani

, and Elad I. Levy

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date: 20 April 2021

Abstract: This chapter discusses the evaluation and management of asymptomatic carotid stenosis. Surgical and endovascular management of carotid artery disease continues to progress. With lifestyle modifications and medical management, the stroke risk without surgical intervention has been decreased; however, in patients with significant carotid stenosis, surgical intervention has still been shown to decrease the stroke risk by nearly half. A thorough understanding of the arterial and venous anatomy is essential for surgical planning. Carotid endarterectomy for asymptomatic carotid artery disease has been validated through prospective clinical trials to help dramatically reduce the risk of stroke. Endovascular management through carotid artery angioplasty and stenting is another option that continues to undergo evaluation in the asymptomatic patient population.

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