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Non-atherosclerotic carotid disease 

Non-atherosclerotic carotid disease
Chapter:
Non-atherosclerotic carotid disease
Author(s):

Andy Kordowicz

and Michael J. Gough

DOI:
10.1093/med/9780199658220.003.0043
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date: 21 September 2019

This chapter describes the epidemiology, aetiology, natural history, clinical features, and the investigation and management of the aspects of non-atherosclerotic cerebrovascular disease. Although rare in the general population they are sufficiently common in specialist vascular units to warrant an understanding of their presentation, complications, and treatment. Not surprisingly there are no large randomized trials to inform surgeons of best management for any of these conditions. For radiation arteritis a moderate-sized systematic review is available. Although angioplasty and stenting have been widely adopted as first-line intervention for this condition there is quite convincing evidence that the medium–long term outcomes for this are not as good as surgery. For fibromuscular dysplasia there is some evidence to support conservative therapy with antiplatelet agents in the majority of patients even when neurological symptoms have occurred. However, most publications support the role of angioplasty (± stenting) for symptomatic patients.

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