Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Management of Carotid Artery Stenosis - Essay Example

Comments (0) Cite this document
There are presently many clinical trials as well as random studies being done, based on the fact that carotid artery stenoses cause stroke and debilitation of large numbers of people in the United States every year. The standard of care for carotid artery stenosis over the last few years has been CEA but there are other treatments being used and trialed…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.2% of users find it useful
Management of Carotid Artery Stenosis
Read TextPreview

Extract of sample "Management of Carotid Artery Stenosis"

Download file to see previous pages The result can be ischemic stroke or transient ischemic attack. These occur because of hemodynamic compromise, embolization, or thrombosis (Greelish, Mohler, Fairman, 2009). The review by Greelish, (2009), includes major trails which evaluate the efficiency as well as clinical variables and risk. There are two major trials discussed in this paper, those are the North American Symptomatic Carotid Endarterectomy Trial and the European Carotid Surgery Trial. Each of these demonstrate the efficacy of the carotid endarterectomy in patients who have symptoms such as transcient ischemic attack (Greenlish,, 2009).
The NASCET cohort is another study done that suggests the benefits of CEA in symptomatic patients may be overestimated, since a number of strokes that occur in the territory of stenotic arteries are not preventable by CEA. 1800 patients were included in this study which was done to assure that we knew what the true risk factors of this group of patients with stroke might be. This study showed that that stroke occurred most often in people that had 60% stenosis. This is well supported in all of the studies that were reviewed. Patients with 60% occlusion whether symptomatic or asymptomatic are at great risk.
Risk factors lead to damage in the carotid arteries and th...
Secondary prevention of stroke: risk factor reduction by Furie, Wilterdink and Kistler, (2009) review risk factor management of patients with atherosclerotic cerebrovascular disease, with a focus on secondary prevention in patients who have had ischemic attack or ischemic stroke. Those risk factors that are discussed in great depth in this paper are hypertension, smoking, diabetes, metabolic syndrome, and dyslipidemia. They show statistical data on those patients that control these risk factors and those that don't as well as how the CEA fits into this care (Furie, et. al., 2009). CEA alone will not forever cure a patient with large number of risk factors. The patient has to be willing to participate in this care, also.
Cardiovascular disease, MI or ischemic stroke is still the leading cause of death in patients with metabolic syndrome and diabetes. Haffey, (2009), suggests success in saving lives here is based on effectively treating the whole patient. The author describes throughout his paper, different clinical approaches to achieving this goal. He reminds that treating those things that are risk factors for the disease should be dealt with aggressively. Those include hypertension, smoking, activity levels, dietary habits, obesity, carotid artery stenosis, and atrial fibrillation (Haggey, 2009). Again, as in the previous literature, Dr. Haggey suggests that there be a great deal of follow up assuring that these patients are doing what has to be done to decrease their risk factors.
There have been three very high quality clinical trials on patients who need carotid endarterectomy but are asymptomatic. Those trials are the Veterans Affairs Cooperative Study Group, the Asymptomatic Carotid Atherosclerosis Study, and the Asymptomatic Carotid ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Management of Carotid Artery Stenosis Essay Example | Topics and Well Written Essays - 2500 words”, n.d.)
Management of Carotid Artery Stenosis Essay Example | Topics and Well Written Essays - 2500 words. Retrieved from
(Management of Carotid Artery Stenosis Essay Example | Topics and Well Written Essays - 2500 Words)
Management of Carotid Artery Stenosis Essay Example | Topics and Well Written Essays - 2500 Words.
“Management of Carotid Artery Stenosis Essay Example | Topics and Well Written Essays - 2500 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Management of Carotid Artery Stenosis

Coronary Artery Disease

... the number, size and development of blood clots in the blood, and beta-blockers that regulate the patient’s blood pressure, lower the heart rate and use of oxygen by the heart. In order to reduce strain on the heart and relax the arteries, the patient may be given calcium channel blockers. Diuretics help decrease the blood pressure. Chest pain is cured with nitroglycerin which also improves the supply of blood to heart. Statins are prescribed to reduce the cholesterol level. Occasionally, the patient is required to undergo a surgery. Minimally invasive heart surgery and coronary artery bypass surgery are commonly employed for curing coronary artery disease. Prevention of Coronary Artery Disease: Several steps can be taken to manage...
5 Pages(1250 words)Research Paper

Coronary Artery Disease - Pathophysiology and Management

...? Coronary Artery Disease - Pathophysiology and Management Coronary heart disease is a serious disease which may lead to death if not well managed. This paper is going to focus on pathophysiology of the disease, its clinical manifestations, medical management and nursing considerations. Coronary Artery Disease - Pathophysiology and Management Introduction Coronary heart disease is also commonly known as coronary artery disease. It is a condition in which plague builds inside the coronary arteries (Cohen & Hasselbring, 2007). These arteries supply oxygenated blood to the heart muscles. Plague is a component of fat, cholesterol and other substances of the blood. Plague is slowly built up over several years forming a condition known...
4 Pages(1000 words)Research Paper

Coronary Artery Disease

The heart becomes starved of its vital nutrients and the oxygen it needs to function properly. Whereas the signs and symptoms of heart disease are distinguished in the advanced stage of the illness, most persons with the disease show no sign of the illness for many years. When the disease shows its first signs, it is then followed by a sudden heart attack. After years of development, some of these plaques may rupture and start restraining blood flow to the heart muscle. From an early age, cholesterol-laden plaque can begin to accumulate in the blood vessel walls (Brubaker, 2001). As people get older, the plaque builds up, provoking the blood vessel walls along with raising the risk of blood clots, as well as heart attack. The pla...
3 Pages(750 words)Research Paper

Coronary Artery Disease

... the account of possible sights and sounds that may be experienced during the surgery, information about those invasive lines that are going to be inserted, length of the surgical intrusion, and possible sensations. The nurse should also emphasize the effectiveness of management pain with medications and reassure that it will be done quickly (Martin & Turkelson, 2006). During the intraoperative phase, the nurse’s role is minimal. Sometimes, nurses trained in coronary artery bypass graft assist during the surgery when in the operating room. Thus, they are required to have been trained to help conduct medical procedures and operate the equipment utilized during the surgery, which is done open-heart. They know the medications...
5 Pages(1250 words)Research Paper

Understanding Spinal Stenosis

As in this case, initial clinical presentations of some patients are often complicated with several individual factors such as age and physical activity. In fact, signs, and symptoms a headache and dyspnea can be extremely subjective and may significantly vary with each patient judgment. Furthermore, some conditions do not immediately present to instantly warrant a thorough investigation, only manifesting when much damage has already occurred to be clinically evident. Possible aggravation of a previously known condition also contributes to the complexity of the case. As such, arriving at a logical and rational medical diagnosis may at times be challenged with the inconsistencies of observed and reported manifestations by the patie...
4 Pages(1000 words)Essay

Use of Carotid IMT in risk stratification of hypogonadal men with atherosclerosis and coronary artery disease

... males, possibly being a cause in development of CAD. Studies have linked low testosterone levels with greater IMT. Thus it seems plausible to use low testosterone levels and carotid IMT in the screening and follow up of patients at risk for development of CAD and patients who have had CAD and are being managed for prevention of further events. 2) Use of carotid IMT as risk stratification tool and how it is measured Carotid IMT is a noninvasive procedure based on the use of the common Ultrasound technology with suitable modification. The technique uses a B-mode real-time ultrasound with a high resolution. B-mode ultrasound imaging technology has evolved to the extent that the walls of superficial arteries can be imaged non-invasively...
8 Pages(2000 words)Essay

Carotid Endarterectomy

The patients considered for the study included those with significant internal carotid artery stenosis and those who were suitable and wished to have CEA. Fully accredited vascular technicians performed all the duplex scans by using the Bluthe criteria. A consultant radiologist reported the angiograms by using the North American Symptomatic Carotid Endarterectomy Trial (NASCET) criteria.
The sample size included 64 patients with a median patient age range of 70 years with a male to female ratio of 1.5 to 1. These patients were recruited over a two-year period. Of the 64 patients, 2 were asymptomatic, 25 patients had a previous cerebrovascular accident, 28 had a transient ischaemic attack (TIA), and 9 had amaurosis.
On the ba...
4 Pages(1000 words)Essay

Computer Tomography Scan Angiography for Carotid Artery Stenosis

...Carotid Artery Stenosis Introduction The carotid arteries are the primary arteries which carry fresh, oxygenated blood to the brain and hence it is vital that they function properly. Any anatomical aberration or pathological lesion can severely affect the blood supply to the brain and result in serious consequences. Carotid Artery Stenosis is a condition which develops gradually and its detection at an early stage is vital for undertaking appropriate surgical or medical intervention. Extracranial carotid disease accounts for nearly one half of all cases of patients dying due to cerebrovascular accident (CVA) culminating in stroke (Nadalo & Walters. 2009). The annual mortality figure for patients affected by CVA is 150,000 worldwide...
13 Pages(3250 words)Essay

Coronary Artery Disease

...Coronary Artery Disease" Coronary Artery Disease or CAD is known as Coronary atherosclerotic heart disease has emerged as one of the leading causes of death in males as compared to females. Its progression constricts the extension of blood vessel leading to myocardial ischemia. Therefore, CAD results in angina or chest pain or myocardial infarction, arrhythmias, subsequently the condition may turn out to be fatal. Etiology- CAD could be explained with two interconnected reasons- Lipid Hypothesis- If the plasma concentration of the lipid enhances, lipids penetrate the arterial walls, and augmentation of the process is due to anomalous lipid metabolism or disproportionate nutritional consumption of cholesterol and saturated fatty acids...
1 Pages(250 words)Essay

The Anterior Tibial Artery

...The Anterior Tibial Artery It appears that the acute swelling that has resulted may be due to rupture of an artery; most likely the Anterior Tibial Artery. If my friend is not taken to a hospital immediately, there is a possibility of developing a hypotensive shock due to extravasation of blood with the passage of time. Therefore emergency help should be immediately sought. The inability to dorsiflex can be related to the injury of tibialis anterior which is the main muscle in the anterior compartment of leg that is related to dorsiflexion at the ankle joint (Singh 130). The common peroneal nerve runs parallel to the sciatic nerve from femur to buttocks and then takes its own way towards the knee and then behind the fibula...
1 Pages(250 words)Case Study

Implementing Schedule of Time Management

...Running head: PHASE 5 INDIVIDUAL PROJECT PHASE 5: Individual Project Affiliation October 2008 How often have you heard it said that planning is waste of time? No sooner is the plan completed than someone comes along to change it. These same naysayers would also argue that the plan, once completed is disregarded and merely put on the shelf so the team can get down to doing some real work. To people management, we mean the planning activity that involves deciding on the types of people in form of resources that are required to fulfill the requirements of the project. In other words the types of skills and number of workers we need to complete the project (kwysocki, 1997). Whenever we talk about the methods involved in the project management...
6 Pages(1500 words)Coursework

Change Management

... of these, management must go out of their way to deal with organizational resistance to change because even the most carefully laid out or well intentioned changes can still meet resistance. Subsequently, an organisation’s ability to gain benefits from their change efforts is largely affected by their ability to create environments that encourage support and acceptance from other members of the organization. (Coetsee, 2003) Definition and application of resistance to change Some authors assert that resistance to change my be defined as behaviour that human beings depict when they are attempting to protect themselves from the effects of change; these effects may be real or they may be imagined depending on the situation under consideration...
10 Pages(2500 words)Coursework

Customer Relationship Management

 Consumers started looking for variety and lower prices. Through the use of technology, such customer tradeoff against variety and prices is not necessary. The US life insurance industry is large, mature and dominated by a number of large companies and this industry has been one of the early adopters of computer technology (Subramanian & Chatterjee, 2007). The advent of the CRM systems changed the landscape of the insurance industry.

The health insurance organizations use CRM to prepare health proposals and process applications in a much faster and accurate way. The organizations are better able to understand the needs and habits of the customer and provide more efficient service. Companies are able to integrat...
9 Pages(2250 words)Case Study

Diversity Management in Organisations

...Managing Diversity in Workforce Contents Introduction 2. Diversity Management: Challenges and Benefits 2 3. Managing Diversity 3 3 Significance of Involvement culture 3 3.2 Impact of Organizational Ethnicity on diversity 4 4. Best Practices to Manage Diversity 4 5. Conclusion 5 6. Bibliography 6 1. Introduction “Diversity” characterizes the massive amount of individual divergences that subsists amid persons. Workforce diversity is a gathering of the resemblances and discrepancies between workers in such sorts as “age, sexual category, cultural inheritance, physical capability and race.” (POLLITT, David, 2006) As of today, diversity in the place of work is widely acknowledged as an advantage that contributes to a business institution’s base...
6 Pages(1500 words)Case Study

Active Directory - Security, User, and Resource Management

Administrators make use of group policies to launch principles for desktop predilections and software. For many corporate information technology groups, concurrence with group policies to identify what software should be presented to each category of user, even without human intervention installing it on demand from a corporate server (Silberschatz, Galvin, & Gagine 2002. P. 838). The capability of the AD was introduced in the year 1999, its initial release was with the MS Windows 2000 Server Ed., additionally personalized to spread out functionality, security parameters and build up administration in MS Win Server 2003. The most recent better facilities and efficient edition of the AD are introduced in the Windows Server 2008...
6 Pages(1500 words)Report

The Management, Leadership and Teamwork Competencies Required by a Small Business Owner

On the other hand organizational leadership is defined as the ability based on the specific skill of an individual to lead his/her subordinates in a manner that pre-planned organizational goals could be achieved within the defined time-frame.

According to Burns (1978) and Bass (1985), transformational leadership has a set of category constructs such as values, morals, farsightedness, long term goals, principles, acute awareness about the dividing line between causes and symptoms, mission statements, strategic perspectives, and human resources. Similarly, they identify a set of category constructs in the transactional leadership also. For instance concentration on the task at hand, short term goals and tactics, confusion co...
6 Pages(1500 words)Coursework

Information Security Management

Security is a group of activities that include the policies, measures, and actions which are utilized to stop unlawful access or alteration, theft, and physical damage to information or computer. Security can be supported by an assortment of techniques and tools to safeguard computer hardware, software communications networks, and data (Laudon & Laudon, 1999, p. 502). In the modern age of information technology, there are many threats happened for organizational information. We need a security model that has the ability to manage and secure our information reserves. Technical administrative safety /security measures like security plans, actions and techniques are the main practices for the organizational information security m...
10 Pages(2500 words)Research Paper

People, Organisations and Management

Organizations and their management styles have evolved to a great extent in the service and manufacturing industry over the last century, and so have been the concepts of management and its functions. These evolutions can be traced to significant developments brought about by the industrial revolution, scientific management principles such as Taylorism and Fordism, transition of feudalistic to capitalistic approach and others in different sectors of manufacturing industries. However, the beginning of the industrial revolution was characterized by a rigid hierarchical bureaucratic way of organizing business enterprises, a style prevalent even today but only in military service organizations. Nevertheless, the manufacturing and busi...
8 Pages(2000 words)Assignment

Self Assessment: Conflict Management Style

...Please indicate Self Assessment: Conflict Management Style The assessment on conflict management that I took suggests that I am the type of person who tends to cooperate and work with people to achieve a desirable outcome. It suggests that when I am faced with a conflicting situation, although I listen and consider other viewpoints included in the discussion, I carefully evaluate and analyse every detail in accordance to my own. It depicts that I welcome other ideas or arguments but not easily swayed by them for I tend to make my point be heard and accepted as well, creating a really interesting discussion that in turn promotes a win-win situation. Furthermore, the assessment also indicated that second to collaborating attitude, I also...
7 Pages(1750 words)Essay

Management Theory and Practice in the Early Childhood Education Industry

...Management Theory and Practice in the early childhood education industry This Report applies management theory into practice in the early childhood industry, especially in the context of women leaders. Management issues play a significant role in the academic sector, because early childhood professionals need higher levels of motivation in order to avoid burnout . As pointed out in a study by Osgood and Halsall (2007) where they carried out research to examine the position of women in leadership or management positions, a “glass ceiling” exists for women in the academic setting, which could significantly impair motivation. Since many of the individuals employed in the early education sector are women, addressing this issue is even more...
6 Pages(1500 words)Coursework
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Management of Carotid Artery Stenosis for FREE!

Contact Us