2018 AANS Annual Scientific Meeting-Point/Counterpoint Session: Asymptomatic Carotid Disease

Point/Counterpoint Session: Asymptomatic Carotid Disease - First Panelist

Video Transcription

Video Summary

In this video, Dr. Anil Nandep presents on the microsurgical anoderectomy route for asymptomatic carotid disease, followed by Dr. Adnan Siddiqui who presents on endovascular balloon-assisted stenting, and Dr. Gabrielle Vidal who presents on medical management. The discussion revolves around the three treatment options: conservative medical management, stenting, or endarterectomy. Dr. Nandep highlights the history of carotid artery disease and the importance of low periprocedural morbidity. The ECAST study is mentioned, showing a benefit for stenting. The increased risk of myocardial infarction with carotid endarterectomy is noted. Meta-analyses and review articles consistently support carotid endarterectomy as the preferred treatment option, unless contraindicated. The underdiagnosis and underrepresentation of carotid disease is also discussed.

Asset Caption

Anil Nanda, MD, MPH, FAANS

Keywords

microsurgical anoderectomy route

asymptomatic carotid disease

endovascular balloon-assisted stenting

medical management

carotid endarterectomy