[HSF] Aortic Valve Stenosis and Carotid Stenosis

[erdinç naseri]

Hal,
Doesn't S in NASCET stands for symptomatic.
erdinc
> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Aortic Valve Stenosis and Carotid Stenosis> Date: Wed, 23 Jan 2008 11:24:39 -0500> From: hgrmd at aol.com> CC: > > > Erdinc,> >   I beg to differ with your statement that there is unclear benefit in operating severe asymptomatic carotid stenoses.  Though I'm not an expert in the vascular literature, I do believe the NASCET study, first published in 1994, did demonstrate a lower incidence of stroke with surgery for stenoses greater 70% in patients otherwise expected to live at leaast 5 years.  I well remember when this study came out (multicenter trial funded by the NIH).  My caseload of carotids skyrocketed.  I have boarded vascular surgeons in my group, and I know that our current management of carotid disease is based on this study.> > Hal> > > -----Original Message-----> From: erdinç naseri <enaseri at hotmail.com.tr>> To: openheart-l at lists.hsforum.com> Sent: Wed, 23 Jan 2008 10:53 am> Subject: RE: [HSF] Aortic Valve Stenosis and Carotid Stenosis> > > > > > he value of surgery in asymptomatic carotid stenosis , be it bilateral ,and in > his case less than 90% ( which is the stenosis criteria in most of the studies > is not clear.Whatver the decision ,it wouldn't be based on evidence and only > ndividualized decision according to the treating surgeon's experiences.> rdinc > From: Hgrmd at aol.com> Date: Tue, 22 Jan 2008 21:48:15 -0500> Subject: > e: [HSF] Aortic Valve Stenosis and Carotid Stenosis> To: OpenHeart-L at lists.hsforum.com> > C: > > Ani, Ed, and Others,> This patient has severe, symptomatic a.s. and > evere asymptomatic carotid > disease. I would do the aortic valve first. If the > atient otherwise looks > like she will survive 5 years, then fixing > symptomatic carotid disease, > greater than 70%, is indicated. I would do the > irst carotid about a month after > the heart surgery. The second one would be > one a month later. If the > patient isn't doing well after the heart surgery, > orget about the carotids.> > Hal> > > > **************Start the year off right. > asy ways to stay in shape. > http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489> > ______________________________________________> OpenHeart-L mailing list> > > end postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE > mail address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > > isclaimers posted at:> http://www.hsforum.com/listdisclaim> > ----------------------------------------> ______________________________________________> penHeart-L mailing list> Send postings to:> OpenHeart-L at lists.hsforum.com> To UNSUBSCRIBE, to CHANGE email address, or to view archives:> ttp://mmp.cjp.com/mailman/listinfo/openheart-l> All messages transmitted by the OpenHeart-L are subject to the policies and > isclaimers posted at:> ttp://www.hsforum.com/listdisclaim> ----------------------------------------> > > ________________________________________________________________________> More new features than ever. Check out the new AOL Mail ! - http://webmail.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------