A revised guideline for the prevention of recurrent stroke or transient ischemic attack (TIA) emphasizes lifestyle modification and aggressive treatment of risk factors. It also suggests, for the first time, that carotid angioplasty and stenting can be an alternative to carotid endarterectomy for patients with severe blockage of the carotid artery who are at low risk for complications.
The guideline, released October 22, is the work of a writing committee established by the American Heart Association (AHA) and the American Stroke Association (ASA) and updates recommendations issued in 2006 (Furie KL et al. Stroke. doi: 10.1161/STR.0b013e3181f7d043 [published online ahead of print October 21, 2010]). The AHA and the ASA noted that the American Academy of Neurology “affirms the value” of the updated guideline as an educational tool for neurologists and that the American Association of Neurological Surgeons and the Congress of Neurological Surgeons reviewed the document and affirmed its educational content.
Mitka M. Guideline Stresses Aggressive Approaches to Reducing Risk of Recurrent Stroke. JAMA. 2010;304(22):2468-2469. doi:10.1001/jama.2010.1764