Multicenter Review of Preoperative Risk Factors for Carotid Endarterectomy
in Patients with Ipsilateral Symptoms.
Carotid artery stenting as compared with carotid endarterectomy
was associated with a 19 percent increase in the risk of such an outcome, as well as an increased risk of various combinations of strokes, ipsilateral stroke and death.
Yadav JS, Roubin GSA, King P Angioplasty and stenting for restenosis after carotid endarterectomy
The investigators intend to randomise 2 400 patients between standardised best medical therapy and intervention which entails carotid endarterectomy
versus carotid artery stent.
The first successful carotid endarterectomy
(CEA) was reported by Eastcott, Pickering, and Rob in 1954 (18).
Statin treatment "can make carotid endarterectomy
, which is already a terrific operation, even better, and my sense is that it may also improve the outcomes of carotid artery stenting as well," said Dr.
Benefit of carotid endarterectomy
in patients with symptomatic moderate or severe stenosis: North American Symptomatic Carotid Endarterectomy
The benefit of carotid endarterectomy
for symptomatic patients with severe (70%-99%) carotid stenosis has been known since the early 1990s (North American Symptomatic Carotid Endarterectomy
Trial [NASCET], 1991).
Surgery to remove plaque in a carotid artery is called a carotid endarterectomy
Medicate administrative data were used to identify five outcome measures: noninvasive cerebrovascular tests, cerebral angiography, carotid endarterectomy
, anticoagulant therapy (as proxied by outpatient prothrombin time tests), and the specialty of the attending physician (neurologist versus other specialist).
Current State of the Science for both carotid endarterectomy
(CEA) and carotid angioplasty and stenting (CAS).
The TCAR procedure using the ENROUTE system is a clinically proven alternative to carotid endarterectomy
(open surgery) that can be performed efficiently under local anesthesia and can significantly minimize complications, recovery time and scarring for the patient.
RELATED ARTICLE: Carotid Endarterectomy
More Cost Effective Than Stenting
Food and Drug Administration (FDA) approved the RX ACCULINK(R) Carotid Stent System for the treatment of patients with carotid artery disease who are at standard risk of adverse events from carotid endarterectomy
Chapter topics covered include neurophysiologic tests used in the operating room, EEG monitoring during carotid endarterectomy
, electrocorticography, monitoring and mapping of the spinal cord, monitoring of the cranial nerves and brainstem, and the effects of anesthetics on intraoperative neurophysiology studies.