OBJECTIVES To assess timeliness of carotid endarterectomy services in the United Kingdom. DESIGN Observational study with follow-up to March 2008. SETTING UK hospitals performing carotid endarterectomy. PARTICIPANTS UK surgeons undertaking carotid endarterectomy from December 2005 to December 2007. MAIN OUTCOME MEASURES Provision and speed of delivery of appropriate assessments of patie...

UNLABELLED Appropriate treatment of symptomatic carotid artery stenosis can reduce ischemic cerebral strokes' risk and in some cases eliminate neurological symptoms. Endarterectomy is the most common surgical treatment. The aim of the study was to examine the influence of carotid endarterectomy on neurological symptoms and patients' life quality. MATERIAL AND METHODS The material comprised of...

BACKGROUND AND PURPOSE We investigated predictors for acute and persisting periprocedural ischemic brain lesions among patients with symptomatic carotid stenosis randomized to stenting or endarterectomy in the International Carotid Stenting Study. METHODS We assessed acute lesions on diffusion-weighted imaging 1 to 3 days after treatment in 124 stenting and 107 endarterectomy patients and les...

BACKGROUND AND PURPOSE Prior meta-analysis showed that carotid endarterectomy benefits decline with increasing surgical delay following symptoms. For symptomatic patients in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST), we assessed if differences in time between symptoms and carotid endarterectomy or carotid artery stenting are associated with differences in risk o...

angladesh has an estimated population of 130 million. Approximately 1.2 million of them are disabled. It is estimated that 70% of them are due to consequences of stroke.1 Stroke is the most common cause of death as a result of neurologic disorders and the third leading cause of death in the United States of America each year. Ischemic stroke from atherosclerotic lesions of the carotid bifurcati...

Carotid angioplasty and stenting has recently emerged as a popular alternative to endarterectomy for the treatment of carotid atherosclerosis. Carotid endarterectomy has been scientifically validated, but many believe carotid angioplasty and stenting to be a less invasive, less expensive and equally safe and effective method of treatment. The evidence for and against the use of each procedure w...

| FULL TEXT | PDF | MEDLINE 7.Barnett HJM, Taylor DW, Eliasziw M, et al, for the North American Symptomatic Carotid EndarterectomyTrial Collaborators.Benefit of carotid endarterectomy in symptomatic patients with moderate and severe stenosis.N Engl J Med.1998;339:1415-1425.

A patient with transient ischemic symptoms in the carotid and vertebrobasilar distribution is reported. His arteriogram demonstrated a persistent primitive hypoglossal artery which in part may explain the clinical picture. The embryology, radiology, clinical manifestations, and surgical considerations of this rare anomaly are discussed.

Background and Purpose: The value of carotid endarterectomy in asymptomatic patients with high-grade stenosis is controversial. The objective of this study is to compare the immediate and long-term outcome of patients after carotid endarterectomy for asymptomatic carotid stenosis (>75%) with the reported natural history of patients followed nonoperatively to determine whether carotid endarterec...