10. Ictus isquémico en pacientes con  estenosis carotídea asintomática de  alto grado

Lina Carazo Barrios

Lina Carazo Barrios Neurología. Hospital Regional Universitario de Málaga

Palabras clave: Estenósis carotídea severa, Ictus esquémico, Cirugía

Abstract

La estenosis carotídea asintomática de alto grado representa un reto terapéutico. La decisión entre el manejo médico y quirúrgico exige una valoración cuidadosa del riesgo - beneficio. Se presenta un estudio poblacional en el que se analizó la incidencia de ictus isquémico durante un periodo de seguimiento de 4,1 años, que resultó del 4,7%. Este riesgo fue bajo en comparación con series previas, si bien se encontró una tasa de mortalidad elevada. Estos datos pueden contribuir a la toma de decisiones en pacientes con estenosis carotídea asintomática de alto grado.

Asymptomatic high-grade carotid stenosis represents a therapeutic challenge. The decision between medical and surgical management requires a careful risk-benefit assessment. We present a population study in which the incidence of ischemic stroke was analyzed during a follow-up period of 4.1 years, which was 4.7%. This risk was low compared to previous series, although a high mortality rate was found. These data may contribute to decision-making in patients with asymptomatic highgrade carotid stenosis.

Recibido: 06 Abril 2023
Revisión: 11 Abril 2023
Aceptado: 05 Mayo 2023

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