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ACST-1: Difference between revisions
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** a carotid plaque not causing significant stenosis and confers a low risk of stroke | ** a carotid plaque not causing significant stenosis and confers a low risk of stroke | ||
** patients with major life-threatening co-morbidities other than stroke | ** patients with major life-threatening co-morbidities other than stroke | ||
* | * poor CEA risk such as recent acute myocardial infarction and intra-cerebral tumours or aneurysm. | ||
* re-stenosis following previous CEA | * re-stenosis following previous CEA | ||
* emboli is likely to be from a cardiac source | * emboli is likely to be from a cardiac source | ||
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<!-- What were the study's interventions? A bulleted list is a nice way to describe these, hence the asterisks in the ACCORD example below. You should replace that with the relevant interventions from the study you're summarizing. --> | <!-- What were the study's interventions? A bulleted list is a nice way to describe these, hence the asterisks in the ACCORD example below. You should replace that with the relevant interventions from the study you're summarizing. --> | ||
* | * Doppler ultrasound was used to assess carotid artery stenosis. Generally, the criteria was defined according to the NASCET trial. | ||
'''Immediate CEA''' | |||
* Procedure carried out as soon as possible using the surgeon's preferable technique | |||
* results show that 50% of patients underwent ipsilateral surgery by 1 month and 88% by 1 year after randomisation | |||
* Shunting during surgery for maintaining cerebral perfusion was optional | |||
'''Deferral of CEA''' | |||
* not to receive CEA unless they develop symptoms suggestive of carotid artery ischemia or other definite indication for surgery was thought to have arisen | |||
==Outcomes== | ==Outcomes== | ||
<!-- The outcomes are where the magic is! Read on for more details. --> | <!-- The outcomes are where the magic is! Read on for more details. --> | ||