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A Protocol-Based Decision for Choosing a Proper Surgical Treatment Option for Carotid Artery Stenosis

DC FieldValueLanguage
dc.contributor.author김용배-
dc.contributor.author서권덕-
dc.contributor.author서상현-
dc.contributor.author이경열-
dc.contributor.author장이욱-
dc.contributor.author정준호-
dc.date.accessioned2016-02-04T11:30:03Z-
dc.date.available2016-02-04T11:30:03Z-
dc.date.issued2015-
dc.identifier.issn2234-8565-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140564-
dc.description.abstractOBJECTIVE: There are two established surgical treatment options for carotid artery stenosis. Carotid endarterectomy (CEA) has been accepted as a gold standard for surgical treatment while carotid artery stenting (CAS) has recently become an alternative option. Each treatment option has advantages and disadvantages for the treatment outcomes. We propose a protocol for selection of a proper surgical treatment option for carotid artery stenosis. MATERIALS AND METHODS: A total of 192 published articles on management of carotid artery stenosis were reviewed. Preoperatively considerable factors which had been repeatedly noted in those articles for the risk/benefits of CEA or CAS were selected. According to those factors, a protocol with four categories was established. RESULTS: CEA or CAS is indicated when the patient has a symptomatic stenosis ≥ 50%, or when the patient has an asymptomatic stenosis ≥ 80%. Each treatment option has absolute indications and favorable indications. Each absolute indication is scored with three points, and each favorable indication, one point. Based on the highest scores, a proper treatment option (CEA or CAS) is selected. CONCLUSION: We have been treating patients according to this protocol and evaluating the outcomes of our protocol-based decision because this protocol might be helpful in assessment of risk/benefit for selection of a proper surgical treatment option in patients with carotid artery stenosis.-
dc.description.statementOfResponsibilityopen-
dc.format.extent101~107-
dc.relation.isPartOfJournal of Cerebrovascular and Endovascular Neurosurgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleA Protocol-Based Decision for Choosing a Proper Surgical Treatment Option for Carotid Artery Stenosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorE-Wook Jang-
dc.contributor.googleauthorJoonho Chung-
dc.contributor.googleauthorKwon-Duk Seo-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorKyung-Yul Lee-
dc.identifier.doi10.7461/jcen.2015.17.2.101-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01873-
dc.contributor.localIdA01886-
dc.contributor.localIdA02648-
dc.contributor.localIdA03460-
dc.contributor.localIdA03731-
dc.contributor.localIdA00743-
dc.relation.journalcodeJ01307-
dc.identifier.pmid26157689-
dc.subject.keywordCarotid artery stenosis-
dc.subject.keywordCarotid artery stenting-
dc.subject.keywordCarotid endarterectomy-
dc.subject.keywordProtocol-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameSeo, Kwon Duk-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameLee, Kyung Yul-
dc.contributor.alternativeNameJang, E Wook-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.affiliatedAuthorSeo, Kwon Duk-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorLee, Kyung Yul-
dc.contributor.affiliatedAuthorJang, E Wook-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.rights.accessRightsfree-
dc.citation.volume17-
dc.citation.number2-
dc.citation.startPage101-
dc.citation.endPage107-
dc.identifier.bibliographicCitationJournal of Cerebrovascular and Endovascular Neurosurgery, Vol.17(2) : 101-107, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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