Transient Ischaemic Attack (TIA) - Related Resources

Cochrane reviews

Carotid endarterectomy for asymptomatic carotid stenosis reduces the risk of strokes by approximately 30% over three years but the absolute risk reduction is small and would be negated by a higher perioperative complication rate Carotid Endarterectomy for Asymptomatic Carotid Stenosis.
In patients with symptomatic carotid stenosis who can undergo surgery safely, endovascular treatment is associated with an increased risk of peri-procedural stroke or death compared with endarterectomy, at least in patients over the age of 70 years Carotid Artery Stenting Vs Endarterectomy for Carotid Artery Stenosis.
The risk of stroke and death is probably not different between local and general anaesthesia during carotid endarterectomy Local Versus General Anaesthesia for Carotid Endarterectomy.
Carotid patch angioplasty may reduce the risk of stroke or death compared to primary closure in patients undergoing carotid endarterectomy Patch Angioplasty Versus Primary Closure for Carotid Endarterectomy.
Extracranial-intracranial arterial bypass surgery in patients with symptomatic occlusive disease of carotid artery might possibly be equal to medical care alone, although the evidence is insufficient.Extracranial-Intracranial Arterial Bypass Surgery for Occlusive Carotid Artery Disease.

Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF, CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med 2010 Jul 1;363(1):11-23. [PubMed] POEM 120991

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