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Screening for asymptomatic carotid stenosis in patients with non-valvular atria...
Paraskevas, Kosmas I.; Eckstein, Hans-Henning; Mansilha, Armando; Ricco, Jean-Baptiste; Geroulakos, George; Di Lazzaro, Vincenzo; Rundek, TatjanaJolobe supports that screening for asymptomatic carotid stenosis (AsxCS) should be extended to patients with non-valvular atrial fibrillation (NVAF). Indeed, a 2021 meta-analysis (n = 20 studies; 49,070 patients) demonstrated that the pooled prevalence of >50% AsxCS inpatients with NVAF was 12.4% (range: 4.4–24.3%). Although this issue was not discussed in our manuscript, the optimal management of patients pres...
Why do guidelines recommend screening for abdominal aortic aneurysms, but not f...
Paraskevas, Kosmas I.; Spence, J. David; Mikhailidis, Dimitri P.; Antignani, Pier Luigi; Gloviczki, Peter; Eckstein, Hans-Henning; Spinelli, Francescoackground: Current guidelines do not recommend screening for asymptomatic carotid artery stenosis (AsxCS). The rationale behind this recommendation is that detection of AsxCS may lead to an unnecessary carotid intervention. In contrast, screening for abdominal aortic aneurysms is strongly recommended. Methods: A critical analysis of the literature was performed to evaluate the implications of detecting AsxCS. R...
Comparison of recent practice guidelines for the management of patients with as...
Paraskevas, Kosmas I.; Mikhailidis, Dimitri P.; Antignani, Pier Luigi; Ascher, Enrico; Baradaran, Hediyeh; Bokkers, Reinoud P.H.; Cambria, Richard P.Despite the publication of several national/international guidelines, the optimal management of patients with asymptomatic carotid stenosis (AsxCS) remains controversial. This article compares 3 recently released guidelines (the 2020 German-Austrian, the 2021 European Stroke Organization [ESO], and the 2021 Society for Vascular Surgery [SVS] guidelines) vs the 2017 European Society for Vascular Surgery (ESVS) g...