Why the study?
Even in good-risk populations with carotid artery stenosis, identifying patients at high risk of stroke who would most benefit from carotid reconstruction remains difficult.
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Assessment of cerebrovascular reserve may provide prognostic value to help identify patients with carotid artery stenosis at high risk of stroke who would benefit most from carotid reconstruction.
The choice of treatment of carotid artery stenosis is firstly based on assessment of the degree of stenosis and embologeneity of the atherosclerotic plaque. But even in 'good-risk' population it is still difficult to identify the patients who are particularly at high threat of stroke and would most benefit from carotid reconstruction. Along with common criteria numerous studies also focus on a prognostic role of a cerebrovascular reserve (CVR) and its state which allows to carry out more objective and pathogenetically substantiated selection of cases for surgical and medical treatment.
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Va et al. (2019) conducted a review in Carotid artery stenosis. Cerebrovascular reserve assessment was evaluated.
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