PT  - JOURNAL ARTICLE
AU  - Ganesh, Aravind
AU  - Wong, John H.
AU  - Menon, Bijoy K.
ED  - Bartolini, Luca
TI  - Practice Current: How do you manage patients with a “hot carotid”?
AID  - 10.1212/CPJ.0000000000000562
DP  - 2018 Dec 01
TA  - Neurology: Clinical Practice
PG  - 527--536
VI  - 8
IP  - 6
4099  - http://cp.neurology.org/content/8/6/527.short
4100  - http://cp.neurology.org/content/8/6/527.full
AB  - Patients presenting with acutely symptomatic carotid stenosis (a “hot carotid”) are known to be at a high up-front risk of recurrent strokes. Uncertainties remain regarding the appropriate management of such patients in the acute period, particularly with respect to anti-thrombotic treatment as they await revascularisation with carotid endarterectomy (CEA) or angioplasty/stenting (CAS). Decision-making is further complicated when intraluminal thrombi are encountered on vessel imaging. Given these uncertainties, and the paucity of high-quality data in the literature, we sought expert opinion from around the globe on how to manage patients with a “hot carotid” as they await CEA/CAS, with a focus on anti-thrombotic treatment options. Similar questions were posed to the rest of our readership in an online survey, the results of which are also presented.