When Do I Need Surgery for Carotid Artery Disease? | TCAR | Silk Road Medical

Ғылым және технология

Dr. Angela Kokkosis of Stony Brook University explains how patients typically need surgery when they have a blockage of 80 percent or higher in the carotid artery. The TransCarotid Artery Revascularization (TCAR) procedure is a clinically proven, minimally invasive treatment option for carotid artery disease.
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TransCarotid Artery Revascularization (TCAR) is a clinically proven procedure combining surgical principles of neuroprotection with minimally invasive endovascular techniques to treat blockages in the carotid artery at risk of causing a stroke. The ENROUTE Transcarotid Stent is intended to be used in patients at high risk and standard risk for adverse events from CEA, in conjunction with the ENROUTE Transcarotid Neuroprotection System (NPS). The ENROUTE Transcarotid NPS is a first in class device used to directly access the common carotid artery and initiate high rate temporary blood flow reversal to protect the brain from stroke while delivering and implanting the ENROUTE Transcarotid Stent.
Caution: Federal (US) law restricts this device to sale by or on the order of a physician. Please refer to Instructions for Use for indications, contraindications, warnings and precautions.
For essential prescribing information, please visit silkroadmed.com/ifu/.
Carotid Artery Disease and Stroke
Every year, 15 million people worldwide suffer a stroke. Nearly 6 million die and another 5 million are left permanently disabled. Stroke is the second leading cause of disability globally. Ischemic strokes account for 80-90 percent of strokes, and an estimated 20-30 percent of these are caused by disease in the carotid arteries that carry blood to the brain. If left untreated, these blockages can fragment, flow to the brain and lead to a potentially disabling stroke, also known as a “brain attack.”
For more information about carotid artery disease and the risks involved with any intervention (e.g. bleeding, death, myocardial infarction, restenosis, stroke, TIA, vessel dissection, vessel occlusion, etc.), please visit: protectionfromstroke.com/
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When Do I Need Surgery for Carotid Artery Disease?
Angela Kokkosis MD: There's a certain percentage of narrowing where we become concerned for the risk of stroke. Typically, for patients that have never had a previous stroke usually we say it's about above 80%. Anything less than that, then we sort of want to maximize aggressive medical conservative management. We want to make sure they're on the right medications, like an aspirin, a cholesterol lowering medication. Control the blood pressure, control their sugar, and keep them from progressing to that 80% or higher stenosis.

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  • @markpage971
    @markpage9714 жыл бұрын

    Always so informative Dr. Kokkosis - thank you.