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Carotid endarterect...
Carotid endarterectomy versus carotid stenting for asymptomatic carotid stenosis : Evaluating the overlapping meta-analyses of randomized controlled trials
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- Azzam, Ahmed Y. (författare)
- Nested Knowledge, St Paul, MN 55117 USA.
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- Ghozy, Sherief (författare)
- Mayo Clin, Dept Radiol, Rochester, MN USA.;Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England.;Univ Oxford, Dept Continuing Educ, EBHC Program, Oxford, England.
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- Elswedy, Adam (författare)
- Uppsala universitet,Institutionen för kemi - BMC
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- Azab, Mohammed A. (författare)
- Univ Utah, Clin Neurosci Ctr, Dept Neurosurg, Salt Lake City, UT 84132 USA.
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- Kallmes, Kevin M. (författare)
- Nested Knowledge, St Paul, MN 55117 USA.;Super Med Experts, St Paul, MN USA.
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- Dmytriw, Adam A. (författare)
- Harvard Med Sch, Massachusetts Gen Hosp, Neuroendovasc Program, Boston, MA USA.
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- Kadirvel, Ramanathan (författare)
- Mayo Clin, Dept Radiol, Rochester, MN USA.;Mayo Clin, Dept Neurol Surg, Rochester, MN USA.
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- Kallmes, David F. (författare)
- Mayo Clin, Dept Radiol, Rochester, MN USA.
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Nested Knowledge, St Paul, MN 55117 USA Mayo Clin, Dept Radiol, Rochester, MN USA.;Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England.;Univ Oxford, Dept Continuing Educ, EBHC Program, Oxford, England. (creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: EUROPEAN JOURNAL OF RADIOLOGY OPEN. - : Elsevier. - 2352-0477. ; 10
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Asymptomatic carotid stenosis is associated with increased risk of ischemic stroke. The management of asymptomatic carotid stenosis ranges from open surgical approaches, minimally invasive endovascular in-terventions, and medical therapeutics. However, the research synthesis comparing these interventions, as shown by the scattered and overlapping published meta-analysis, has been inconsistent and non-comprehensive.Methods: Using previously-employed methods, we searched for and compared published meta-analyses comparing carotid endarterectomy and carotid stenting. A comprehensive search was conducted for all rele-vant studies published until November 13th, 2021, using the following databases: PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, OVID, and Google Scholar.Results: Five meta-analysis studies were included in this review. In summary, clinical findings were: carotid endarterectomy reduced the rate of ischemic stroke and stroke-related mortality, but led to a higher rate of intraoperative cranial nerve injury. There was no significant difference between carotid endarterectomy and carotid stenting in ipsilateral stroke and myocardial infarction events.Conclusions: The clinical findings favor the carotid endarterectomy over the carotid stenting in terms of stroke incidence (overall and minor events) and stroke-related mortality rates. However, the carotid stenting was su-perior to the carotid endarterectomy in the events of cranial nerve injury during the intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Carotid endarterectomy
- Carotid stenting
- Carotid stenosis
- Ischemic stroke
- Meta-analysis
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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