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• W3164642438 startingPage "111426" @default.
• W3164642438 abstract "Carotid artery stenosis is highly prevalent in older adults. Generally, symptomatic patients are treated with medical therapy and revascularization by either a carotid endarterectomy (CEA), carotid artery stent (CAS), or transcarotid artery revascularization (TCAR). In asymptomatic patients it remains unclear whether revascularization is beneficial. Novel and less invasive techniques mitigate some of the risk of revascularization, allowing patients who previously were too high risk to now be candidates. Despite this, any invasive procedure has risks and potential for complications. Furthermore, it can be unclear whether certain patient populations, such as older adults and those with multiple chronic medical conditions will derive benefit from an intervention. Frailty is an assessment tool that can be used to guide decision-making process for older patients. In this review we discuss the management of carotid artery stenosis in older adults, its relationship with frailty, and how a frailty assessment can be integrated into the shared decision-making process to determine the optimal treatment plan for each patient. • Carotid artery stenosis is highly prevalent in the aging population and if untreated may cause a TIA or stroke. • Age alone should not be the sole factor on which clinical decisions are made to pursue carotid revascularization. • Frailty assessment can help determine individualized treatment plan but should not be a reason to withhold treatment. • Frailty can identify those at increased risk for complications and opportunities for mitigation." @default.
• W3164642438 created "2021-06-07" @default.
• W3164642438 creator A5038514966 @default.
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• W3164642438 date "2021-09-01" @default.
• W3164642438 modified "2023-10-09" @default.
• W3164642438 title "Considerations for carotid artery disease management in a frail population" @default.
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• W3164642438 doi "https://doi.org/10.1016/j.exger.2021.111426" @default.
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• W3164642438 hasPublicationYear "2021" @default.
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