Fundus fluorescein angiography was performed in 10 cases of occlusive carotid artery disease at presentation and after surgery or medical treatment. An improvement in the microcirculation of the retina was observed in 4 cases after carotid endarterectomy and in 1 case after carotid endarterectomy and extracranial-intracranial bypass. Improvement was not observed in 2 cases after extracranial-in...

Immune thrombocytopenic purpura (ITP) patients are at high risk for bleeding complications regarding surgeries involving cardiopulmonary bypass. We report an ITP patient with chronic thromboembolic pulmonary hypertension who underwent uncomplicated pulmonary endarterectomy with receiving postoperative intravenous immunoglobulin (IVIG) therapy. The positive outcome of this case may suggest that ...

BACKGROUND The anatomy of carotid stenosis may influence the outcome of endovascular treatment or carotid endarterectomy. Whether anatomy favors one treatment over the other in terms of safety or efficacy has not been investigated in randomized trials. METHODS In 414 patients with mostly symptomatic carotid stenosis randomized to endovascular treatment (angioplasty or stenting; n = 213) or ca...

Aim: To compare the beneficial role of carotid angioplasty in comparison to carotid endarterectomy. Methods: PubMed database was searched for articles comparing carotid angioplasty stenting and carotid endarterectomy, published during 2000-2013. Eight studies in which carotid endarterectomy and angioplasty were compared using randomized control trail were included in the study. The pooled odds ...

CONTEXT Several well-known clinical trials have demonstrated that the value of carotid endarterectomy depends on preoperative symptoms and the degree of carotid artery stenosis. The benefit of surgery also depends on how the results of these clinical trials (defining the efficacy of carotid endarterectomy) are applied to actual clinical practice (the effectiveness of the procedure), where surgi...

According to the literature data, the prevalence of restenosis after carotid endarterectomy ranges between 6 and 36%. The etiological factor is intimal hyperplasia for early period, whereas it is atherosclerosis for late period. A 67-year-old male patient admitted to our clinic with a history of headache and minor stroke. His medical history was significant for right carotid endarterectomy 8 ye...

OBJECTIVE To assess the early results of combined coronary artery bypass graft surgery and carotid endarterectomy. DESIGN Retrospective and ongoing analysis of patients who underwent combined coronary artery bypass graft surgery and carotid endarterectomy. SETTING Cardiothoracic unit in a London teaching hospital. PATIENTS From June 1987 to March 1995, 64 patients were identified. They we...

OBJECTIVE The optimal treatment of patients with co-existing occlusive coronary and carotid arterial disease is controversial. This study reports our experience with simultaneous carotid endarterectomy and coronary bypass in conjunction with cardiopulmonary bypass with mild hypothermia. METHODS AND RESULTS From March 2001 to June 2004, 72 patients underwent simultaneous coronary bypass and ca...

NORTH AMERICAN SYMPTOMATIC CAROTID ENDARTERECTOMY TRIAL The North American Symptomatic Carotid Endarterectomy Trial (NASCET) answered practical questions relating to the efficacy and safety of carotid endarterectomy based on degree of carotid stenosis and accompanying medical comorbidity in patients with symptomatic carotid stenosis (The Canadian Cooperative Study Group, 1998; North American Sy...

Editorial The case for concomitant carotid and coronary artery surgery There is continuing controversy about the best management for patients with severe coronary artery disease who also have important carotid disease. Approaches vary from totally ignoring carotid stenoses at the time of myocardial revascularisation, to performing staged operations, or combining the two operations during one an...