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The most feared complication of carotid endarterectomy is stroke. Risks of stroke at the time of surgery are higher for symptomatic (3–5%) than asymptomatic patients (1–3%). [7] Bleeding, infection, and cranial nerve injury are also risks at the time of surgery.
The surgical mortality of endarterectomy ranges from 1–2% to as much as 10%. Two large randomized clinical trials have demonstrated that carotid surgery done with a 30-day stroke and death risk of 3% or less will benefit asymptomatic people with ≥60% stenosis who are expected to live at least 5 years after surgery.
Carotid endarterectomy: A carotid endarterectomy is a minimally invasive procedure to remove plaque from within your carotid artery, the main blood vessel that carries blood to your brain.
Carotid artery stenting is an endovascular procedure where a stent is deployed within the lumen of the carotid artery to treat narrowing of the carotid artery and decrease the risk of stroke. It is used to treat narrowing of the carotid artery in high-risk patients, when carotid endarterectomy is considered too risky.
Coronary endarterectomy involves removing atheroma from the wall of blocked blood vessels (coronary) supplying the heart muscle. The concept was first introduced by Bailey [2] in the 1950s prior to the advent of coronary artery bypass surgery to help patients with angina and coronary artery disease. It is still used today when coronary artery ...
Bensley, Rodney P., et al. "Accuracy of administrative data versus clinical data to evaluate carotid endarterectomy and carotid stenting." Journal of Vascular Surgery (2013). Bensley, Rodney P., et al. "Risk of late-onset adhesions and incisional hernia repairs after surgery." Journal of the American College of Surgeons (2013).
Atherosclerotic plaque from a carotid endarterectomy specimen. This shows the division of the common into the internal and external carotid arteries. Specialty: Cardiology Complications: Thrombosis, embolism, atherosclerosis, arteriosclerosis: Causes: Hyperlipidemia, hypertriglyceridemia, hypercholesterolemia
The surgeon attaches one end of the new vessel right before the blockage, and the other end in the area after the affected portion. [13] This reestablishes proper blood flow toward the desired area. Steps of performing an endarterectomy on the carotid artery, in which the accumulated atheroma is removed via surgery.