What are the AHA/ASA guidelines on stroke prevention in women with TIA/ischemic stroke/carotid stenosis?

Updated: Jan 10, 2016
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Answer

Answer

For women with transient ischemic attack (TIA) or ischemic stroke within the past 6 months and ipsilateral severe (70%–99%) carotid artery stenosis: CEA if the perioperative morbidity and mortality risk is estimated to be <6% (class I)

For women with recent TIA or ischemic stroke and ipsilateral moderate (50%–69%) carotid stenosis

: CEA depending on patient-specific factors, such as age and comorbidities, if the perioperative morbidity and mortality risk is estimated to be <6% (class I)

When CEA is indicated, performing surgery within 2 weeks of TIA or ischemic stroke is reasonable rather than delaying surgery (class IIa)


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