Evidence-based Medicine in the Treatment of Carotid Artery Stenosis(<SPECIAL ISSUE>IC Stenosis Revisited)

Abstract

Many guidelines recommend CEA for patients with symptomatic moderate or severe carotid artery stenosis, and for patients with asymptomatic severe stenosis after controlled randomized studies. However, sex and age sould also be considered in each case. In high risk patients for CEA, CAS may be selected. In recent years, stroke risk for medically treated patients has decreased. Therefore, medical treatment may be first choice for those patients with asymptomatic carotid stenosis and for CEA high risk patients.