Risk Analysis Index: When Is The Patient Too Frail To Undergo A Carotid Artery Endarterectomy?

2021 ◽  
Vol 71 ◽  
pp. 466
Author(s):  
Sally Boyd ◽  
Kedar S. Lavingia ◽  
Wayne Tse ◽  
Michael Amendola
Keyword(s):  
Carotid Artery ◽  
Risk Analysis ◽  
Carotid Artery Endarterectomy

Carotid artery web with fetal posterior cerebral artery variant masquerading as recurrent ipsilateral cryptogenic ischaemic strokes

2021 ◽  
Vol 14 (12) ◽  
pp. e246421
Author(s):  
Rohit Mehra ◽  
Vikram Patra ◽  
Rishi Dhillan
Keyword(s):  
Carotid Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Medical Literature ◽  
Posterior Cerebral Artery ◽  
Surgical Excision ◽  
Patch Angioplasty ◽  
History Of ◽  
Carotid Artery Endarterectomy ◽  
Multidisciplinary Teamwork

A 31-year-old woman was referred to vascular surgeons with the history of recurrent ischaemic strokes in two cerebral artery territories over a span of 1 year. On investigation, she was found to have a right internal carotid artery web, with thrombus and a fetal right posterior cerebral artery (PCA), which explained the ischaemic strokes in right middle cerebral and PCA territory. The rare association of these two infrequent entities makes the case a singular one in the medical literature. Successful surgical excision was done after multidisciplinary teamwork. The carotid web was excised as part of carotid artery endarterectomy and repaired with great saphenous vein patch angioplasty. The patient made a good recovery.

Concomitant Surgical Treatment of Symptomatic Carotid Artery Disease With a Coexisting Shamblin I Carotid Body Tumor

2017 ◽  
Vol 51 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Carlos A. Hinojosa ◽  
Javier E. Anaya-Ayala ◽  
Hugo Laparra-Escareno ◽  
Adriana Torres-Machorro ◽  
Rene Lizola ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Carotid Artery Disease ◽  
Duplex Ultrasound ◽  
Neurological Deficits ◽  
Symptomatic Carotid ◽  
Carotid Body Tumors ◽  
Carotid Artery Endarterectomy ◽  
Artery Disease ◽  
Dissection Technique

Symptomatic carotid artery atherosclerotic disease is an indication for carotid artery endarterectomy. The coexistence of carotid body tumors (CBTs) with symptomatic carotid disease is rarely encountered and adds significant challenges to vascular surgeons, with a reported overall mortality for patients who undergo endarterectomy and tumor excision of 8.8%, as opposed to the 2% for those who had CBT excision only. We describe the case of a 79-year-old female who experienced an acute cerebrovascular accident in the left hemisphere; duplex ultrasound revealed high-grade carotid stenosis in the left side and the presence of a Shamblin I CBT. The risks and benefits of the planned operation were reviewed, and the decision was made to proceed with early carotid endarterectomy and concomitant surgical resection of the tumor using the retrocarotid dissection technique. The patient recovered well, and at 11 months from the combined procedure, her neurological deficits improved significantly.

Early Carotid Artery Endarterectomy after Intravenous Thrombolysis Therapy

2013 ◽  
Vol 8 (6) ◽  
pp. E28-E28 ◽  
Author(s):  
Bruno Barroso ◽  
Brice Laurens ◽  
Stéphanie Demasles ◽  
Mohamed Faik ◽  
Gael Ledoyer
Keyword(s):  
Carotid Artery ◽  
Intravenous Thrombolysis ◽  
Carotid Artery Endarterectomy ◽  
Thrombolysis Therapy

Carotid Artery Endarterectomy Solely Based on Duplex Scan Findings

2002 ◽  
Vol 36 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Karl Logason ◽  
Sadettin Karacagil ◽  
Hans-Göran Hårdemark ◽  
Annika Boström ◽  
Anders Hellberg ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Duplex Scan ◽  
Carotid Artery Endarterectomy

Carotid Artery Endarterectomy Versus Carotid Artery Stenting for Patients with Contralateral Carotid Occlusion: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 120 ◽  
pp. 563-571.e3 ◽  
Author(s):  
Pavlos Texakalidis ◽  
Stefanos Giannopoulos ◽  
Damianos G. Kokkinidis ◽  
Theofilos Karasavvidis ◽  
Leonardo Rangel-Castilla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Meta Analysis ◽  
Carotid Occlusion ◽  
Carotid Artery Endarterectomy

scholarly journals The role of completion imaging following carotid artery endarterectomy

2013 ◽  
Vol 57 (5) ◽  
pp. 1432-1438 ◽  
Author(s):  
Jean-Baptiste Ricco ◽  
Fabrice Schneider ◽  
Giulio Illuminati ◽  
Russell H. Samson
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Endarterectomy

Update on Extracranial Carotid Stenosis

2016 ◽  
Vol 11 (1) ◽  
pp. 18 ◽  
Author(s):  
Tilman Reiff ◽  
Christoph Gumbinger ◽  
Sibu Mundiyanapurath ◽  
Peter A Ringleb ◽  
◽  
...  
Keyword(s):  
Risk Factor ◽  
High Risk ◽  
Carotid Artery ◽  
Ischaemic Stroke ◽  
Carotid Stenosis ◽  
Medical Therapy ◽  
Stroke Risk ◽  
Research Results ◽  
Carotid Artery Endarterectomy

Carotid stenosis is a risk factor of ischaemic stroke and has an increasing prevalence with age. Stroke risk under optimised medical therapy, as well as recommendations of carotid artery endarterectomy/stenting, as therapy in high risk carotid stenosis, are discussed in consideration of recent research results.

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