The future in the management of patients with asymptomatic carotid artery stenosis.

IF 1.4 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE International Angiology Pub Date : 2025-06-01 Epub Date: 2025-04-07 DOI:10.23736/S0392-9590.25.05401-X
Kosmas I Paraskevas, Sherif A Sultan, Ali F Aburahma, Wesley S Moore, Matthew Blecha, Piotr Myrcha, Clark J Zeebregts, Ales Blinc, Alun H Davies, Mario D'Oria, Mauro Gargiulo, Pavel Poredos, Alexei Svetlikov, Bruce A Perler, Seemant Chaturvedi, Gemmi Sufali, Luca Saba, Jens Eldrup-Jorgensen, Sean P Lyden, Carlo Setacci, Vincenzo DI Lazzaro, Tilman Reiff, Agnieszka Sawicka, Christos D Liapis, Gaetano Lanza, Gaia Spinetti, Antonino Bruno, Andrew N Nicolaides, Ankur Thapar, Maarten Uyttenboogaart, Arkadiusz Jawien, Dimitri P Mikhailidis, Francesco Spinelli, Francesco Stilo, Piotr Musialek, Victor Gurevich, Mauro Silvestrini, Young M Erben, Peter A Schneider, Gregory Y Lip, Christopher J White, Alan Dardik, James F Meschia, Mahmoud B Malas, Peter Gloviczki, Marc L Schermerhorn, Armando Mansilha
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Abstract

Introduction: The optimal management of patients with asymptomatic (AsxCS) and symptomatic carotid stenosis (SxCS) is still debatable. The present article will discuss emerging technological advances for the diagnosis and management of patients with AsxCS.

Evidence acquisition: PubMed/MedLine was searched until December 31, 2024 for studies in English discussing emerging technological advances in the diagnosis and management of patients with AsxCS.

Evidence synthesis: Several technological advances have recently been reported, among others, nanoplastics and microplastics, artificial intelligence and machine learning in predictive analytics for stroke prevention, digital twins for personalized monitoring, electronic tattoos for continuous non-invasive monitoring, stroke risk prediction through plaque morphology and late-phase contrast-enhanced ultrasound. A brief overview of each technological advance is presented and discussed.

Conclusions: The technological advances discussed in the present article will aid the early diagnosis of AsxCS as well as the individualized optimal management of patients with AsxCS.

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无症状颈动脉狭窄患者的治疗前景。
无症状颈动脉狭窄(AsxCS)和症状性颈动脉狭窄(SxCS)患者的最佳治疗方法仍存在争议。本文将讨论AsxCS患者诊断和管理的新兴技术进展。证据获取:截至2024年12月31日,PubMed/MedLine检索了讨论AsxCS患者诊断和管理的新兴技术进展的英文研究。证据合成:最近报道了几项技术进步,其中包括纳米塑料和微塑料,用于中风预防的预测分析中的人工智能和机器学习,用于个性化监测的数字双胞胎,用于连续非侵入性监测的电子纹身,通过斑块形态和后期对比增强超声预测中风风险。简要概述了每一项技术进步,并进行了讨论。结论:本文讨论的技术进步将有助于AsxCS的早期诊断以及AsxCS患者的个性化优化管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Angiology
International Angiology 医学-外周血管病
CiteScore
2.80
自引率
28.60%
发文量
89
审稿时长
6-12 weeks
期刊介绍: International Angiology publishes scientific papers on angiology. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (ICMJE).
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