Efficacy for carotid artery stenting (CAS) has not been confirmed by randomized clinical trial methodology in conventional risk patients. Although carotid endarterectomy (CEA) is considered the preferred method for carotid revascularization in the management of patients with symptomatic and asymptomatic extracranial carotid occlusive disease, comparisons between CAS and CEA are now underway. In...

Carotid endarterectomy (CEA) appears to be an intuitively logical operation which probably accounts for the incredible growth in its popularity since it was introduced in 1954. Between 1971 and 1985, the number of carotid endarterectomies performed increased from 15,000 to 107,000 cases per year in the USA. Between 1985 and 1990, the number of endarterectomies declined due to concerns voiced by...

Effective prevention is inarguably the best option for reducing the individual and societal burden of stroke. For each patient, clinicians balance the benefits of a given preventive therapy against its associated risks and costs. Where possible, these assessments should be based on the results of randomized clinical trials. Carotid endarterectomy (CEA), the most-commonly used surgical procedure...

Background and Purpose—Change in cognition is being increasingly recognized as an important outcome measure; however, the role of carotid revascularization on this issue remains to be determined. It is still under debate whether carotid artery stenting and carotid endarterectomy have the same influence on neuropsychological functions. Summary of Review—This article systematically reviews recent...

Carotid endarterectomy for stroke prevention has been the standard of care for 50 years in patients with extra-cranial carotid bifurcation disease. Over the past decade, carotid stenting has emerged as a viable alternative to surgery. Combined with filter embolic protection devices, both a randomized control trial (Stenting and Angioplasty with Protection in Patients at High Risk for Endarterec...

Resource allocation and planning of future services is dependent on current volumes, making it imperative that procedural data is accurately recorded. We sought to evaluate the effectiveness of the information gathered by the Hospital Inpatient Enquiry (HIPE) system in recording such activity. Five index vascular procedures (open/endovascular abdominal aneurysm repair, carotid endarterectomy, l...

BACKGROUND AND PURPOSE We sought to determine whether postoperative length of stay (LOS) and resource utilization could be safely reduced without changing our uniform protocol of performing carotid endarterectomy (CEA) under general anesthesia with postoperative intensive care unit monitoring. METHODS We retrospectively reviewed the hospital records of 421 consecutive CEA operations performed...

Submitted by vhoward on Tue, 10/08/2013 10:51am Title Editorial comment--Identifying risk factors for perioperative outcomes after carotid endarterectomy: the story continues. Publication Type Journal Article Year of Publication 2003 Authors Howard, VJ, Rosamond, W Journal Stroke Volume 34 Issue 11 Pagination 2573-5 Date Published 2003 Nov ISSN 1524-4628

Cerebral hyperperfusion syndrome (CHS) is increasingly recognized as an uncommon, but serious, complication subsequent to carotid artery stenting (CAS) and carotid endarterectomy (CEA). The onset of CHS generally occurs within two weeks of CEA and CAS, and a delay in the onset of CHS of over one week after CAS is quite rare. We describe a patient who developed CHS three weeks after CAS with sta...

References 1. Dyken ML. Controversies in stroke: past and present. The Willis Lecture. Stroke. 1993;24:1251-1257. 2. Role of carotid endarterectomy in asymptomatic carotid stenosis: A Veterans Administration Cooperative Study. Stroke. 1986;17: 534-539. 3. Hobson RW II, Weiss DG, Fields WS, Goldstone J, Moore WS, Towne J, Wright CB, and the Veterans Affairs Cooperative Study Group. Efficacy of c...