Carotid endarterectomy: Who should perform it?

Who should perform thoracoscopy?

who should do it?

background:     purpose:     methods:     results:     conclusion:

Redo carotid endarterectomy versus primary carotid endarterectomy.

BACKGROUND AND PURPOSE Several authorities have recently advocated carotid stenting for recurrent carotid stenosis because of the perception that redo surgery has a higher complication rate than primary carotid endarterectomy (CEA). This study compares the early and late results of reoperations versus primary CEA. METHODS All reoperations for recurrent carotid stenosis performed during a rece...

Who should have carotid surgery or angioplasty?

Carotid endarterectomy reduces the overall risk of stroke in patients with ECST70-99% recently symptomatic stenosis, and to a lesser extent, at least in the short-term, in patients with severe asymptomatic stenosis. Whether angioplasty and stenting is a reasonable alternative will be decided by the results of ongoing RCTs of angioplasty versus endarterectomy. The current policy of operating on ...

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...