Korean J Stroke.
2011 Dec;13(3):99-106. 10.5853/kjs.2011.13.3.99.
Focused Update of 2009 Korean Clinical Practice Guidelines for the Surgical or Interventional treatment of Extracranial Carotid Artery Stenosis in Secondary Prevention of Stroke
- Affiliations
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- 1Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Neurology, Hallym University College of Medicine, Chuncheon, Korea. ykh1030@hallym.ac.kr
- 3Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
- 4Department of Neurology, Inha University College of Medicine, Incheon, Korea.
- 5Department of Neurology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
- 6Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
- 7Department of Neurology, University of Ulsan College of Medicine, Ulsan, Korea.
- 8Department of Neurosurgery, Catholic University College of Medicine, Seoul, Korea.
- 9Department of Neurosurgery, Gyeongsang National University College of Medicine, Jinju, Korea.
- KMID: 1996979
- DOI: http://doi.org/10.5853/kjs.2011.13.3.99
Abstract
- Since the publication of the first edition of Korean clinical practice guidelines of secondary stroke prevention, encouraging data from recent large clinical trials and meta-analysis have led us to consider many therapeutic options in the treatment of symptomatic extracranial carotid stenosis. Accordingly, the writing group of Clinical Research Center for Stroke decided to provide recent views on the therapeutic revascularization of extracranial carotid stenosis, and timely evidence-based recommendations. In this updated version, new evidences about carotid angioplasty/stenting, treatment timing, and perioperative preparation are given, and qualifying conditions for operator are elucidated. This refinement was based on current consensus between Korean Society of Intravascular Neurosurgery, Korean Society of Interventional Neuroradiology, and Korean Society of Cerebrovascular Surgery and approved by Korean Stroke Society, Korean Neurological Association, and Korean Society of Geriatric Neurology. These recommendations are subject to future correction based on new evidences from ongoing and future studies.
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