Carotid endarterectomy is increasingly used to decrease the risk of stroke associated with cervical atherosclerotic stenosis, and some investigators claim that the results and benefits for carotid stenting are comparable with those of endarterectomy. A review of the literature reveals that there is incomplete knowledge concerning carotid artery atherosclerotic disease, its associated risks, the...

BACKGROUND The Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) found a higher risk of stroke after carotid artery stenting and a higher risk of myocardial infarction (MI) after carotid endarterectomy. METHODS AND RESULTS Cardiac biomarkers and ECGs were performed before and 6 to 8 hours after either procedure and if there was clinical evidence of ischemia. In CREST, MI ...

In this work, we provide a computational study of the effects of carotid endarterectomy (CEA) on the fluid-dynamics at internal carotid bifurcations. We perform numerical simulations in real geometries of the same patients before and after CEA, using patient-specific boundary data obtained by Echo-Color Doppler measurements. We analyze four patients with a primary closure and other four where a...

This lecture presents one of the most often vascular surgical procedures – carotid endarterectomy. This type of surgery is performed to prevent stroke caused by atherosclerotic plaque at the common carotid artery bifurcation and, most important, internal carotid artery. Before we will discuss the anatomy of this region, it is necessary to mention that typical symptoms that lead to the diagnosis...

Aeditorial appeared in this journal in 1984 "expressing concern" about the uncertainties surrounding the use of carotid endarterectomy. The authors stressed that treatment strategies, whether medical or surgical, if they are based on nothing more than evaluations of a large series of individual case reports without controls, are no longer compatible with the demands of modern scientific methods...

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...

A case of severe bilateral injury to the hypoglossal nerves after two-stage carotid endarterectomy is described. Injury to the hypoglossal nerve occurs in up to 20% of patients undergoing carotid endarterectomy and may result in mild or unnoticed deficits. These injuries must be carefully searched for in patients who will undergo a similar procedure on the opposite side since a bilateral defici...

s: Greber C, Karapanayiotides T, Ruchat P, Kemény V, Piechowski-Jozwiak B, Despland PA, Bogousslavsky J, Devuyst G. The cognitive impact ofcarotid endarterectomy: benefit and for whom? Cerebrovasc Dis 2003;16(suppl4):42. Karapanayiotides T, Ruchat P, Darbellay G, Kemény V, Piechowski-Jozwiak B, Vesin JM, Despland PA, Bogousslavsky J, Devuyst G. What is thenature and clinical...

20 % of ischemic stroke appear to originate from carotid artery atherosclerotic disease. Serum biomarkers reflecting the activity process and may help for estimate risk acute cerebrovascular events. Several serum inflammatory markers have been proposed assessment, but their prognostic role less known.
 The aim this study is clarify value atherosclerosis lipoprotein-associated phospholipase...