scholarly journals Delayed Carotid Endarterectomy After Admission in Symptomatic Carotid Artery Disease Is Associated With Lower Postoperative Stroke Rates in the Medicare Population

2019 ◽  
Vol 70 (3) ◽  
pp. e86-e87
Author(s):  
Nathan Itoga ◽  
Pavlos Tsantilas ◽  
Manuel Garcia-Toca ◽  
John Harris
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Disease ◽  
Symptomatic Carotid ◽  
Medicare Population ◽  
Postoperative Stroke ◽  
Artery Disease

II. Improved dark adaptation after carotid endarterectomy

Neurology ◽  
1997 ◽  
Vol 49 (5) ◽  
pp. 1360-1364 ◽  
Author(s):  
Ulf Havelius ◽  
David Bergqvist ◽  
Bengt Hindfelt ◽  
Torsten Krakau
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Dark Adaptation ◽  
Clinical Evidence ◽  
Carotid Artery Disease ◽  
Internal Carotid Artery Stenosis ◽  
Symptomatic Carotid ◽  
Control Subjects ◽  
Artery Disease ◽  
And Control

We have reported that dark vision is impaired in symptomatic carotid artery disease and that the impairment correlates with internal carotid artery stenosis. To find out whether this impairment is reversible after carotid endarterectomy, dark adaptation was examined pre- and postoperatively. Twenty-one consecutive patients were examined by dark adaptometry. Two examinations were done for each eye on two consecutive days pre- and postoperatively. Thirty-one matched control subjects were examined under identical conditions. The control subjects did not have clinical evidence of carotid artery disease. Patients and control subjects were free of ophthalmologic disorders. Dark vision frequently improved remarkably after endarterectomy. The average retinal sensitivity to light in darkness on the operated side doubled, and there was also improvement on the nonoperated side. There was no significant change in dark vision in the control subjects, negating a learning effect. The findings suggest the existence of reversible neuronal ischemia secondary to hemodynamic causes or frequent subclinical microembolization. Because the circulatory conditions are optimized, formerly inactive, surviving neurons may regain function.

Carotid Endarterectomy versus Endovascular Stent Placement as Therapy for Symptomatic Carotid Artery Disease

2009 ◽  
Vol 4 (1) ◽  
pp. 98
Author(s):  
Brian G Hynes ◽  
Thomas J Kiernan ◽  
Nicholas J Ruggiero ◽  
Bryan P Yan ◽  
Michael R Jaff ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Disease ◽  
Extracranial Internal Carotid Artery ◽  
Extracranial Carotid Artery ◽  
Symptomatic Carotid ◽  
The Us ◽  
Ischaemic Attack ◽  
Artery Disease ◽  
Endovascular Stent Placement

Stroke-related morbidity and mortality remain unacceptably high. Recent estimates suggest that it accounts for approximately one out of every 17 deaths in the US, with one death from the direct consequences of stroke every three to four minutes. Of the almost 800,000 strokes that occur annually, 87% are ischaemic, the remainder occurring predominantly as a consequence of intracerebral haemorrhage. The accessibility of the extracranial internal carotid artery to revascularisation, together with the strong correlation between the severity of carotid artery stenosis and the further risk of stroke in patients who have already experienced a transient ischaemic attack (TIA) or stroke (up to 35% at five years in one series), has driven the field of carotid endarterectomy (CEA) and carotid artery stenting (CAS). In this article we will discuss the merits and risks of both of these revascularisation methods for patients with symptomatic extracranial carotid artery disease.

Transcarotid Artery Revascularization and Advances in Vascular Surgery for Carotid Artery Disease

2021 ◽  
Author(s):  
James Hu ◽  
◽  
Andy Sohn ◽  
Justin George ◽  
Rajesh Malik ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Surgical Management ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Carotid Artery Disease ◽  
Artery Stenosis ◽  
Cerebrovascular Accidents ◽  
Artery Disease

Carotid artery atherosclerotic disease impacts over 2 million Americans annually. Since the advent of the carotid endarterectomy by Debakey in 1953, the surgical management of carotid artery stenosis has prevented cerebrovascular accidents. The technology utilized to manage carotid artery stenosis continued to evolve with the utilization of carotid artery stenting in 1989 and more recently transcarotid artery revascularization (TCAR). This review discusses the modern management of carotid artery stenosis with an emphasis on transcarotid artery revascularization (TCAR) and reversal of flow for reversal of flow for embolic protection.

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.

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