The inappropriate use of carotid endarterectomy

The inappropriate use of carotid endarterectomy.

The appropriate use of carotid endarterectomy.

For the first 30 years after carotid endarterectomy was first developed, anecdotal evidence was used to identify patients with internal carotid artery disease for whom this procedure would be appropriate. More recently, the appropriateness of carotid endarterectomy for symptomatic patients and asymptomatic subjects has emerged from 7 randomized trials. Risk of stroke and benefit from the proced...

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...

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...

Carotid Endarterectomy

Carotid endarterctomy (CEA) is still remain a good therapeutic modality for carotid artery disase in some medical centers if these centers do not have any endovascular surgical options. CEA may reduce the risk of possible neurological deficits, but has some surgical complications. Benefit in patients with stroke and to decline progressively in patients with cerebral TIA and retinal events in bo...