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Smoking cessation remains a ‘ripe target’ for improved medication adherence in carotid disease
New data presented at the 2024 Vascular Annual Meeting (VAM) held June 19–22 in Chicago have revealed poor overall rates of medical therapy adherence in moderate asymptomatic carotid stenosis patients—with smoking cessation representing a “ripe target” for improvement moving forward.…
Midterm CARAS study results show cerebral ischaemic event incidence “should not be underestimated”
The final publication of midterm results from the observational CARAS study suggest that cerebral ischaemic event (CIE) incidence in asymptomatic carotid stenosis patients “should not be underestimated”, so say authors Rodolfo Pini (University of Bologna, Italy) and colleagues, relaying these…
Carotid stenting demonstrates comparable short- and long-term results to endarterectomy
Pooled patient-level data from more than 2,500 asymptomatic, non-octogenarian subjects have shown that carotid artery stenting (CAS) achieved comparable short- and long-term results to carotid endarterectomy (CEA). The findings of this analysis have been published by Jon Matsumura (University of…
Research indicates low stroke risk and benefit of medication alone in asymptomatic carotid stenosis
The risk of having a future stroke caused by asymptomatic carotid stenosis is “so low” that most patients with this condition could potentially be treated with the newest medications and may not require surgery. That is according to new research from Kaiser…
Randomized trial suggests carotid endarterectomy does not affect dementia risk
Carotid endarterectomy (CEA) does not appear to either reduce or increase the risk of dementia, despite it having been shown to reduce stroke risk. This is according to 20-year results from the ACST-1 trial, published online ahead of print in…
Increased market competition linked to higher odds of revascularization among asymptomatic patients with moderate carotid stenosis
A vascular surgery research team with a growing reputation for its work investigating appropriateness in care in the peripheral vascular bed recently uncovered an association between increased regional market competition among proceduralists and higher odds of revascularization being carried out…
Vascular surgeons found to ask twice as many closed- versus open-ended questions in patient encounters
Patients reported they mostly felt their provider was adequate in terms of engaging in shared decision-making during asymptomatic vascular consults, according to a qualitative analysis carried out at the University of Iowa in Iowa City. Furthermore, vascular surgery compared favorably…
USPSTF reaffirms 2014 recommendation against screening for asymptomatic carotid stenosis
The United States Preventive Services Task Force (USPSTF) has recommended against screening for asymptomatic carotid artery stenosis in the general adult population—a reaffirmation of the 2014 D recommendation. The USPSTF statement came in a recommendation statement recently published in the…
CEA provides inhibitive effect on stroke prevention for eight years over no surgical intervention
Carotid endarterectomy (CEA) has a small but significant effect on stroke prevention through eight years compared with no surgery, investigators who carried out a cohort analysis in a large integrated health system found. A research team led by Robert Chang,…
‘Risk prediction models can be used for targeted screening for asymptomatic carotid stenosis,’ researchers find
Most prediction models can “reliably” identify individuals at high risk of significant asymptomatic carotid stenosis (ACS), a new study shows. Michael H. F. Poorthuis, MD, of the Clinical Trial Service Unit and Epidemiological Studies Unit in the Nuffield Department of…