Carotid Top 10 Priorities (priority setting in association with the JLA)
A final workshop was held 21st September 2021 and brought together patients and healthcare professionals to jointly agree a priority list for carotid research.
- Can doctors accurately predict which people with carotid artery disease are most at risk of a stroke?
- Is there an association between carotid disease and cognitive decline?
- What is the optimal management of patients with carotid disease using individualised risk benefit ratios?
- Can the appearance of carotid narrowings (also called plaques) help predict an individual patient's stroke risk?
- What is the best treatment for carotid artery disease? E.g.medicines, life-style changes, intervention.
- What can be done to prevent re-narrowing and recurrent symptoms following carotid surgery?
- Is screening for carotid artery disease worthwhile, and if so, what is the best screening test?
- Following carotid surgery, is surveillance (i.e, scanning to detect re-narrowing) of the treated artery necessary?
- Is surveillance of patients with known carotid artery disease worthwhile?
- What is the optimal antiplatelet regime following carotid endarterectomy?
The following questions were also discussed and put in order of priority at the workshop:
- How can the problems carotid artery disease can cause be better explained to patients and members of the public? E.g. warning signs and stroke risk
- What is the role of monitoring brain perfusion during surgery? E.g. Trans cranial doppler
- Are chronic kidney disease and carotid artery disease connected?
- Is enhanced recovery beneficial following carotid endarterectomy?