Navigation Links
Experts Issue Guidelines on Care of Clogged Neck Arteries
Date:2/1/2011

TUESDAY, Feb. 1 (HealthDay News) -- There isn't sufficient evidence to recommend widespread screening or routine ultrasound tests to check for blocked neck arteries that could cause a stroke.

That's one key finding from new guidelines on the care of the clogged arteries, released Jan. 31 by the American Heart Association, American Stroke Association and other groups.

A person's risk of stroke increases when blood flow to the brain is reduced due to clogging of the carotid arteries on the sides of the neck or the vertebral arteries alongside the spine.

While there is no proof that routine screening for blocked neck arteries offers any benefit, "if your doctor hears abnormal blood flow when listening to your neck arteries, or if you have two or more risk factors for stroke (such as high cholesterol or a family history), then [ultrasound testing] is a reasonable approach," guidelines writing committee co-chair Dr. Jonathan L. Halperin, a professor of medicine at the Mount Sinai School of Medicine in New York, said in an American Heart Association/American College of Cardiology news release.

One expert working in the field agreed with the recommendation.

"The new guidelines suggest that ultrasound should be limited to patients who are at high risk -- even if they have not yet had a stroke or mini-stroke," said Dr. Naveen Goyal, director of the Stroke Center at The Brooklyn Hospital Center, New York City. "It's not often that patients at risk see a stroke specialist, so these guidelines are primarily directed for all the other physicians who see these patients."

The new guidelines also state that carotid stenting (the placement of an artery-opening mesh tube inside the vessel) and carotid endarterectomy (surgical scraping of plaque from artery wall) are both reasonable and effective ways to open neck arteries that are more than 50 percent blocked.

"The guidelines support carotid surgery [endarterectomy] as a tried-and-true treatment for most patients," committee co-chair Dr. Thomas G. Brott, a professor of neurology and director of research at the Mayo Clinic campus in Jacksonville. Fla., said in the news release.

"However, for most patients who have a strong preference for less invasive treatments, carotid stenting offers a safe alternative," he added. "Because of the anatomy of their arteries or other individual considerations, some patients may be more appropriate for surgery and others for stenting."

One physician agreed that the decision is often made on a case-by-case basis.

"When a high-grade blockage is discovered, these two treatments are now both being acknowledged as acceptable treatment options but the choice between them still remains unclear," said Dr. Keith A. Siller, medical director of the Comprehensive Stroke Care Center at NYU Langone Medical Center, New York City. That's because each procedure's success "is highly dependent on the specialist performing these procedures, the age of the patient, additional anatomical features of the blockage itself, and patient preferences," he said.

The guidelines also stress that for many patients, medications may remain a better approach than either carotid stenting or carotid endarterectomy.

The guidelines will be published in the journals Stroke and Circulation and in the Journal of the American College of Cardiology.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about stroke prevention.

-- Robert Preidt

SOURCE: Naveen Goyal, M.D., director, Stroke Center, The Brooklyn Hospital Center, New York City; Keith A. Siller, MD, medical director of the Comprehensive Stroke Care Center at NYU Langone Medical Center, New York City; American Heart Association/American College of Cardiology, news release, Jan. 31, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Infectious Disease Experts Call for More Focus on Hepatitis C
2. Experts Brains Work Differently Than Amateurs
3. Flu Season Looks Normal This Year, Experts Say
4. Falls as Serious for Elderly as Stroke, Heart Attack: Experts
5. Holiday Drinking Raises Death Toll on U.S. Roads, Experts Warn
6. Hair Of The Dog No Hangover Cure, Say Experts
7. For Cholesterol Control, Experts Urge More Than Meds
8. Driving a Bad Idea for People Wearing a Cast, Brace: Experts
9. Better Methods Needed to Measure Hospital Quality: Experts
10. CHOP experts collaborate in gene survey of childhood brain cancer; intriguing clues found
11. Docs Claim Transplant Cured Man of HIV, But Experts Urge Caution
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Experts Issue Guidelines on Care of Clogged Neck Arteries
(Date:6/25/2016)... ... 25, 2016 , ... Austin residents seeking Mohs surgery services, can now turn ... to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization ... selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction ...
(Date:6/25/2016)... ... , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily customize ... Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures into ... Simply select a ProHand generator and drag it above media or text in the ...
(Date:6/25/2016)... ... 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned ... the David Geffen School of Medicine at UCLA. He trained in Internal Medicine at ... fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... , ... June 24, 2016 , ... A recent ... most people are unfamiliar with. The article goes on to state that individuals are ... many of these less common operations such as calf and cheek reduction. The Los ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... , June 23, 2016 Research ... Devices Global Market - Forecast to 2022" report to ... the treatment method for the patients with kidney failure, it ... excess fluid from the patient,s blood and thus the treatment ... potassium and chloride in balance. Increasing number ...
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
Breaking Medicine Technology: