Carotid Artery Revascularization

[Internal carotid artery revascularization].

Carotid endarterectomy remains the standard revascularization technique for the prevention of ischemic stroke resulting from severe carotid stenosis. Surgery is highly beneficial in patients with a symptomatic stenosis of 70% or greater that is not a total or near-total occlusion. The benefit becomes more diluted in patients with a symptomatic 50-69% stenosis, and surgery has no effect, or even...

Carotid Artery Revascularization: What's the Best Strategy?

Ophthalmic Artery Occlusion After Carotid Revascularization

Distal embolization resulting from carotid angioplasty and stenting (CAS) occurs mainly in the cerebral hemisphere. We report a case of ophthalmic artery occlusion after carotid revascularization. A 75-year old man received emergency CAS for cervical internal carotid artery occlusion. Two months later, the patient was readmitted for decreased visual acuity. We found ophthalmic artery occlusion ...

Peripheral Artery Disease Extracranial Carotid Disease Revascularization

Extracranial carotid artery stenosis is a factor in 20% to 30% of all strokes.1,2 Revascularization strategies using surgical carotid endarterectomy (CEA) or carotid artery stenting (CAS) offer the possibility of stroke prevention by restoring flow and mitigating the risk for future plaqueassociated embolization. Numerous studies have assessed whether these procedures reduce the risk for stroke...

Carotid Revascularization: Carotid Endarterectomy

Carotid endarterectomy (CEA) is a procedure that has reliably decreased the risk of cerebrovascular events and death in patients with severe carotid stenosis. In this chapter, important concepts in the preoperative assessment of patients undergoing CEA will be reviewed. An overview of the clinical trials highlighting current indications will be provided, followed by a discussion of the surgical...