HOME >> MEDICINE >> NEWS
Timely surgery dramatically reduces stroke risk for people with carotid stenosis

Surgical intervention to remove narrowing in the carotid artery (carotid endarterectomy) could substantially reduce the risk of major strokes in certain groups of patients if it is done sufficiently soon after a "warning stroke" or transient ischaemic attack (TIA), suggest authors of a UK study in this week's issue of The Lancet.

Peter Rothwell from the University of Oxford, UK, and colleagues analysed pooled data from two trials (the European Carotid Surgery Trial and North American Symptomatic Carotid Endarterectomy Trial) to assess the risk of stroke without surgery, the risk of stroke and death due to surgery, and the overall benefit from surgery.

Data for around 5900 people were available from the two trials. Benefit from surgery was greatest in men, patients aged 75 years or older, and those randomised within 2 weeks after their warning stroke, and fell rapidly with increasing delay.

Dr Rothwell comments: "Benefit is particularly dependent on the delay to surgery after the presenting event. Ideally, the procedure should be done within 2 weeks. Unfortunately, in the UK and elsewhere, the operation is often not done until several months after the event - even if the patient seeks medical attention immediately after their warning stroke. Benefit from surgery is very much reduced at this time, and many patients who would have benefited have their major stroke whilst waiting for surgery."

The need for urgent investigation and treatment stems from the high risk of major stroke in the first few days and weeks after a TIA or warning stroke. Dr Rothwell adds: "There is therefore a need to educate the public about the symptoms of warning strokes and TIAs so that people seek medical attention immediately. The importance of this latest study is that it shows that many more strokes can be prevented if treatment is initiated early. The problem currently in the UK, and in many other countries, is that we are just not set up to investigate
'"/>

Contact: Joe Santangelo
j.santangelo@elsevier.com
212-633-3810
Lancet
18-Mar-2004


Page: 1 2

Related medicine news :

1. Timely antiretroviral therapy essential for best prognosis in people with HIV-1 infection
2. Risky surgery not always necessary to treat cervical disease
3. 9.2 million cosmetic plastic surgery procedures in 2004 - up 5%
4. Disfigured patients may be forced to forego surgery
5. Half-million cosmetic plastic surgery procedures for Hispanics in 2004 - up 49% from 2000
6. Nursing mothers having surgery -- How long a wait to breastfeed safely?
7. Breast implant Website launched by leading plastic surgery societies
8. Mayo Clinic study sets threshold for valve repair surgery
9. Gender a factor in who gets bypass surgery
10. New laparoscopic hysterectomy offers quicker recovery time than traditional surgery
11. UIC offers new weight loss surgery for obese teens

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/28/2020)... ... March 27, 2020 , ... ... Suntuity Group of companies, is mobilizing their drone equipment and training personnel to ... leveraging their DJI Enterprise level Matrice and Agras drones, Suntuity AirWorks is mobilizing ...
(Date:3/28/2020)... YORK (PRWEB) , ... March 27, 2020 , ... ... today announces the launch of this March’s edition of “The Fertility Journey.” This ... the face of fertility, third-party parenting, and maternal health options. , One ...
(Date:3/27/2020)... ... 27, 2020 , ... On March 27th, 2020, Talos Health Solutions , ... their families and caregivers living in the US. This free online conference will be ... 2020, and will focus on asthma symptoms, the different kinds of asthma, treatment options, ...
(Date:3/22/2020)... ... March 21, 2020 , ... In partnership with UC Health, Cincy ... community’s medical professionals and first responders. The title comes from the English translation of ... and its flag. , Proceeds from the sale of the shirt will benefit ...
(Date:3/20/2020)... ... ... My heart goes out to those across our nation and around the world ... through similar circumstances - underlying conditions compounded by a virus – I truly empathize. ... emotions just like many have: fear, anxiety, uncertainty. In contrast, I would like to ...
Breaking Medicine News(10 mins):
(Date:4/1/2020)... ... 2020 , ... Dr. Michele S. Green, board-certified Anti-Aging Expert ... Beauty network. , The Haute Beauty Network, well known for its exclusivity, and ... , Haute Beauty offers a prominent collective of leading doctors nationwide. The invitation-only ...
(Date:4/1/2020)... ... April 01, 2020 , ... ... to sign up today, with the first live-streaming broadcast premiering on April 2. ... feature a host interviewing a variety of animal keepers and veterinary hospital staff ...
(Date:3/30/2020)... ... March 30, 2020 , ... ... solution, TalkWithYourDoc.com . By leveraging technology developed by its wholly owned ... to continue offering revenue-generating healthcare services while serving patients’ needs during the COVID-19 ...
Breaking Medicine Technology:
Cached News: