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The prevalence of carotid stenosis in patients presenting with ischaemic stroke: a one-year prospective observational study

Cheng, SF; Brown, MM; Simister, R; Richards, T; (2019) The prevalence of carotid stenosis in patients presenting with ischaemic stroke: a one-year prospective observational study. British Journal of Surgery , 106 (7) pp. 872-878. 10.1002/bjs.11136.

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Abstract

Background: Carotid stenosis is regarded as a common cause of ischaemic stroke and transient ischaemic attack (TIA). Despite a rising recognition and centralisation of stroke services there has been a decline in interventions for carotid stenosis in recent years. The aim of this study is to determine the current prevalence and management of carotid stenosis in the United Kingdom. Methods: A one-year prospective observational study was performed on consecutive patients presenting with ischaemic stroke, TIA or ischaemic retinal artery occlusion to a central London hyper-acute stroke unit. Patients with significant carotid stenosis , was defined as atherosclerotic narrowing ≥50%, underwent multidisciplinary team (MDT) discussion to determine cause of stroke and carotid stenosis as symptomatic or ‘incidental’. Conclusion: Carotid stenosis is common in 1 in 5 patients presenting with stroke. Careful MDT discussion may avoid unnecessary intervention and should be standard of care.

Type: Article
Title: The prevalence of carotid stenosis in patients presenting with ischaemic stroke: a one-year prospective observational study
DOI: 10.1002/bjs.11136
Publisher version: http://doi.org/10.1002/bjs.11136
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10066538
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