title: Is surgery always the best treatment for severe carotid stenosis in the frail elderly?
abstract: OBJECTIVE
  Presentation of a case of carotid stenosis in an elderly patient with multiple co-morbidities, and its management.
  
  
  METHODS
  Pre-operative management of an elderly patient affected by carotid artery stenosis with cardiac, metabolic and renal comorbidities and a recent history of buccal squamous carcinoma.
  
  
  RESULTS
  Pre-operative anestesiologic assessment showed an increased risk for the presence of heart failure, cardiogenic pulmonary hypertension, mild/moderate stage renal disease.
  
  
  CONCLUSIONS
  The frail elderly represents a real challenge for the surgeon, because in choosing treatment other options must be taken into account both in view of local disease and of various systemic comorbidities.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Quarto
authors.forename: Giacomo
authors.initials: G
authors.lastname: Benassai
authors.forename: Emanuele
authors.initials: E
authors.lastname: Gallinoro
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.forename: Ermenegildo
authors.initials: E
authors.lastname: Furino
mesh_terms: D000368:Aged; D017130:Angioplasty; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000628:therapy; D002318:Cardiovascular Diseases / Q000150:complications; D016893:Carotid Stenosis / Q000188:drug therapy* / Q000601:surgery; D015897:Comorbidity; D000075202:Contraindications; D019468:Disease Management; D016330:Frail Elderly; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000150:complications / Q000628:therapy; D024821:Metabolic Syndrome / Q000150:complications; D018579:Patient Selection; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011300:Preoperative Care; D012306:Risk; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors