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Journal articles on the topic 'Carotid endarterectomy'

Author: Grafiati

Published: 4 June 2021

Last updated: 20 February 2023

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1

AbuRahma, Ali F., Tucker G. Jennings, John T. Wulu, Lisa Tarakji, and Patrick A. Robinson. "Redo Carotid Endarterectomy Versus Primary Carotid Endarterectomy." Stroke 32, suppl_1 (January 2001): 332. http://dx.doi.org/10.1161/str.32.suppl_1.332-a.

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90 Background/Purpose: Several authorities have recently advocated carotid stenting for recurrent carotid stenosis because of the perception that redo surgery carries a higher complication rate than primary carotid endarterectomy (CEA). This study will compare early and late results of reoperations versus primary CEA. Patient Poplulation and Methods: All redo operations for recurrent carotid stenosis performed during a recent 7-year period by a single vascular surgeon were compared with primary CEA. Since all redo CEAs were done using polytetrafluoroethylene (PTFE) or vein patch closure, only primary CEAs using the same patching were analyzed. A Kaplan Meier life-table analysis was used to estimate stroke-free survival rates and freedom from ≥50% recurrent stenosis. Results: Out of 510 primary CEAs, 265 had PTFE or vein patch closure. One hundred twenty-four reoperations using PTFE or vein patch closure were done during the same period. Both groups had similar demographic characteristics. Indications for reoperations and primary CEAs were symptomatic stenosis in 78% and 58%, and asymptomatic ≥80% stenosis in 22% and 42%, respectively (p<0.001). The 30-day perioperative stroke and transient ischemic attack rates for reoperation and primary CEA were 4.8% versus 0.8% (p=0.015) and 4% versus 1.1%, respectively, with no perioperative deaths in either group. Cranial nerve injury was noted in 17% in reoperation patients versus 5.3% in primary CEA patients, however most of these were transient (p<0.001). The mean hospital stay was 1.8 days for reoperation versus 1.6 days for primary CEA. The cumulative stroke-free survival and freedom from ≥50% recurrent stenosis rates for reoperation at 1, 3, and 5 years were 96%, 91%, 82%, and 98%, 96%, 95%, respectively; and 94%, 92%, 91% and 98%, 96%, 96%, respectively for primary CEA (no statistically significant differences). Conclusions: Reoperation carries higher perioperative stroke and cranial nerve injury rates than primary CEA. However, redo operations are durable and have stroke-free survival rates that are similar to primary CEA. These considerations should be kept in mind when recommending carotid stenting versus reoperation.

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2

AbuRahma, Ali F., Tucker G. Jennings, John T. Wulu, Lisa Tarakji, and Patrick A. Robinson. "Redo Carotid Endarterectomy Versus Primary Carotid Endarterectomy." Stroke 32, no. 12 (December 2001): 2787–92. http://dx.doi.org/10.1161/hs1201.099649.

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3

Bick, Carol, and Chris Imray. "Carotid endarterectomy." Nursing Standard 16, no. 3 (October 3, 2001): 47–53. http://dx.doi.org/10.7748/ns2001.10.16.3.47.c3092.

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4

Ingall, Timothy J., David W. Dodick, and Richard S. Zimmerman. "Carotid endarterectomy." Postgraduate Medicine 107, no. 6 (May 2000): 97–109. http://dx.doi.org/10.3810/pgm.2000.5.15.1093.

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5

Diaz, Fernando G., and Ghaus M. Malik. "Carotid Endarterectomy." JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA 4, no. 2-3 (December 22, 2017): 46–54. http://dx.doi.org/10.22290/jbnc.v4i2-3.103.

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Carotid endarterectomy should be considered for patients with symptoms of focal cerebral ischemia, when it can be performed with a combined morbidity and mortality below the annual risk of stroke (5%). The experience with 815 carotid endartectomies perforformed from 1979 to 1992 is presented. There were 530 (65%) men and 285 (35%) women of ages from 34 to 82 (median 65); risk factors included diabetes mellitus 196 (24%), hypertension 554 (68%), and smoking 570 (70%). Clini¬cal presentation consisted of transient ischemic attacks 464 (57%), cerebral infarction with minimal neurological residual 228 (28%), stroke in evolution 2 (0.2%), and asymptomatic stenosis 121 (15%). By Sundts classification of medical risk the groups were: grade I, 106 (13%); grade II, 350 (43%; grade III, 357 (44%); grade IV, 2 (0.2%). All patients received endotracheal anesthesia. Thiopental (3-5 mg/kg) and lidocaine (1 mg/kg) were given for induction and at 15 minutes intervals during carotid cross-clamping. Intraluminal shunts were used in 14 (2%). A conventional (open) endarterectomy was performed in 379 (46%) and a limited endarterectomy (closed) in 436 (54%). Complications included 8 (1%) deaths, 24 (3%) developed a major neurological deficit that persisted, 24 (3%) had perioperative TIAs which resolved completely. Of the patients with preoperative neurological deficits, 32 (4%) recovered. Therefore, at one month after surgery, 782 (96%) were either as well or better than pre-operatively. Of 483 (59%) postoperative angiograms, 40 (5%) showed an internal carotid artery occlusion. Six of these patients developed an immediate postoperative cerebral infarction and one died. Non-neurologic complicalions were: cardiac 40 (5%), peripherail nerve 24 (3%), and local wound problems 16 (2%). A carotid endarterectomy can be performed safely when it is done with meticulous attention to detail and consistent surgical technique.

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6

Tippett, Troy M., Alton B. Sisco, and Charles E. Chapleau. "Carotid endarterectomy." Journal of Neurosurgery 63, no. 3 (September 1985): 387–89. http://dx.doi.org/10.3171/jns.1985.63.3.0387.

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✓ The authors have reviewed 150 consecutive carotid endarterectomies in 140 patients performed by three neurosurgeons. These were performed in two small community hospitals. There was an overall mortality rate of 1.3%; major or minor stroke was seen in 2.7% of patients and transient neurological dysfunction in 2.7%. Preoperative symptoms included major or minor stroke in 39.3% of patients and transient neurological dysfunction in 43.3%; 17.3% of patients were asymptomatic. The patients were continuously monitored intraoperatively with electroencephalography. There were two operative deaths, both related to myocardial infarction and both on the 2nd postoperative day. These statistics appear to compare favorably with those of series reported by major institutions. The average number of carotid endarterectomies per surgeon per year was 10. These were performed over a 7-year period (October, 1976, through November, 1983). Previous series have implied the need for higher frequency in performing the procedure to assure low morbidity and mortality rates. This series appears to offer evidence to the contrary. A key to these results has been that in 148 of the 150 operations, the primary surgeon has been assisted by one of the other two neurosurgeons. This affords the primary surgeon the benefit of excellent technical assistance, and also broadens the experience of the assisting surgeon, thereby allowing maximum experience from the small volume of cases.

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7

Lynfield, Joshua. "Carotid Endarterectomy." Annals of Internal Medicine 111, no. 5 (September 1, 1989): 443. http://dx.doi.org/10.7326/0003-4819-111-5-443.

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8

Cebul, Randall D. "Carotid Endarterectomy." Annals of Internal Medicine 111, no. 8 (October 15, 1989): 660. http://dx.doi.org/10.7326/0003-4819-111-8-660.

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9

Lederle, Frank A. "Carotid Endarterectomy." Annals of Internal Medicine 112, no. 5 (March 1, 1990): 383. http://dx.doi.org/10.7326/0003-4819-112-5-383.

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10

Loftus, Christopher M. "Carotid endarterectomy." Postgraduate Medicine 82, no. 5 (October 1987): 241–48. http://dx.doi.org/10.1080/00325481.1987.11700011.

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11

Howell, S. J. "Carotid endarterectomy." British Journal of Anaesthesia 99, no. 1 (July 2007): 119–31. http://dx.doi.org/10.1093/bja/aem137.

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12

Ritter, Jens C., and Mark R. Tyrrell. "Carotid endarterectomy." Current Opinion in Cardiology 28, no. 6 (November 2013): 619–24. http://dx.doi.org/10.1097/hco.0b013e32836553d0.

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13

Allain, Rae, Luke K. Marone, Joseph Meltzer, and Geetha Jeyabalan. "Carotid Endarterectomy." International Anesthesiology Clinics 43, no. 1 (2005): 15–38. http://dx.doi.org/10.1097/01.aia.0000150279.00355.6c.

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14

McCarthy, Walter J., Andrew E. Park, Esmail Koushanpour, William H. Pearce, and James S. T. Yao. "Carotid Endarterectomy." Annals of Surgery 224, no. 3 (September 1996): 297–307. http://dx.doi.org/10.1097/00000658-199609000-00006.

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15

Mendes, George A. C., Joseph M. Zabramski, Ali M. Elhadi, M. Yashar S. Kalani, Mark C. Preul, Peter Nakaji, and Robert F. Spetzler. "Carotid Endarterectomy." Neurosurgery 75, no. 2 (March 21, 2014): 110–16. http://dx.doi.org/10.1227/neu.0000000000000356.

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Abstract BACKGROUND: Cranial nerve injury (CNI) is the most common neurological complication associated with carotid endarterectomy (CEA). Some authors postulate that the transverse skin incision leads to increased risk of CNI. OBJECTIVE: We compared the incidence of CNI associated with the transverse and longitudinal skin incisions in a high-volume cerebrovascular center. METHODS: We reviewed the charts of 226 consecutive patients who underwent CEAs between January 2007 and August 2009. Pre- and postoperative standardized neurological evaluations were performed by faculty neurologists and neurosurgeons. RESULTS: One hundred sixty nine of 226 (75%) CEAs were performed with the use of a transverse incision. The longitudinal incision was generally reserved for patients with a high-riding carotid bifurcation. Mean patient age was 69 years (range, 45–91 years); 62% were men; 59% of patients were symptomatic and had high-grade stenosis (70%-99%). CNI occurred in 8 cases (3.5%): 5 (3%) in transverse and 3 (5.3%) with longitudinal incisions (P = .42). There were 2 marginal mandibular nerve injuries, 1 (0.6%) transverse and 1 longitudinal; 5 recurrent laryngeal nerve injuries, 4 transverse and 1 longitudinal; and 1 case of hypoglossal nerve injury associated with longitudinal incision. One hematoma was associated with CNI. All injuries were transient. Fourteen wound hematomas required surgical evacuation. CONCLUSION: The transverse skin incision for CEAs is not associated with an increased risk of CNI (P =.42). In this study, the incidence of CNI associated with the transverse incision was 3% (n = 5) vs 5% (n = 3) for longitudinal incisions. All CNIs were temporary.

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16

Royle, J. P. "CAROTID ENDARTERECTOMY." Australian and New Zealand Journal of Surgery 55, no. 4 (September 20, 2010): 311–12. http://dx.doi.org/10.1111/j.1445-2197.1985.tb00892b.x.

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17

Warlow, Charles. "Carotid Endarterectomy." Cerebrovascular Diseases 2, no. 3 (1992): 121. http://dx.doi.org/10.1159/000109002.

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18

Nicholls, Stephen C., David J. Phillips, Robert O. Bergelin, Kirk W. Beach, Jean F. Primozich, and D. Eugene Strandness. "Carotid endarterectomy." Journal of Vascular Surgery 2, no. 3 (May 1985): 375–81. http://dx.doi.org/10.1067/mva.1985.avs0020375.

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19

Uno, Masaaki. "Carotid Endarterectomy." Japanese Journal of Neurosurgery 21, no. 12 (2012): 943–48. http://dx.doi.org/10.7887/jcns.21.943.

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20

Keatinge, R. "Carotid endarterectomy." BMJ 310, no. 6987 (April 29, 1995): 1135. http://dx.doi.org/10.1136/bmj.310.6987.1135.

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21

Lambert, M. "Carotid endarterectomy." BMJ 310, no. 6992 (June 3, 1995): 1471. http://dx.doi.org/10.1136/bmj.310.6992.1471.

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22

Talkington, C. M. “Mack”, Wilson V. Garrett, Bertram L. Smith, Gregory J. Pearl, and Jesse E. Thompson. "Carotid Endarterectomy." Baylor University Medical Center Proceedings 5, no. 3 (July 1992): 3–14. http://dx.doi.org/10.1080/08998280.1992.11929783.

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23

Petrozza, Patricia. "Carotid Endarterectomy." Journal of Neurosurgical Anesthesiology 8, no. 4 (October 1996): 304. http://dx.doi.org/10.1097/00008506-199610000-00008.

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24

Pritz, Michael. "Carotid Endarterectomy." Seminars in Neurology 18, no. 04 (1998): 493–500. http://dx.doi.org/10.1055/s-2008-1040902.

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25

Kistner, Robert L., and Eugene B. Ferris. "Carotid endarterectomy." Postgraduate Medicine 80, no. 4 (September 15, 1986): 127–31. http://dx.doi.org/10.1080/00325481.1986.11699539.

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26

Honeycutt, John H., and Christopher M. Loftus. "Carotid Endarterectomy." Neurosurgery Clinics of North America 11, no. 2 (April 2000): 279–97. http://dx.doi.org/10.1016/s1042-3680(18)30132-3.

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27

Gaspar, Max R. "Carotid endarterectomy." American Journal of Surgery 159, no. 2 (February 1990): 252–55. http://dx.doi.org/10.1016/s0002-9610(05)80274-0.

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28

Fiorani, P. "Carotid endarterectomy." European Journal of Vascular and Endovascular Surgery 15, no. 6 (June 1998): 550–51. http://dx.doi.org/10.1016/s1078-5884(98)80121-4.

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29

Ballotta, E., and G. Giau. "Carotid Endarterectomy." European Journal of Vascular and Endovascular Surgery 20, no. 3 (September 2000): 317–18. http://dx.doi.org/10.1053/ejvs.2000.1184.

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30

Bicknell, C. D., and N. J. W. Cheshire. "Carotid Endarterectomy." European Journal of Vascular and Endovascular Surgery 24, no. 5 (November 2002): 469–70. http://dx.doi.org/10.1053/ejvs.2002.1739.

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31

Stewart-Amidei, Chris. "CAROTID ENDARTERECTOMY." Neurologist 7, no. 2 (March 2001): 133–34. http://dx.doi.org/10.1097/00127893-200103000-00007.

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32

Stewart-Amidei, Chris. "CAROTID ENDARTERECTOMY." Neurologist 7, no. 2 (March 2001): 133–34. http://dx.doi.org/10.1097/00127893-200107020-00007.

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33

Bailes, Julian E. "Carotid Endarterectomy." Neurosurgery 50, no. 6 (June 2002): 1290–95. http://dx.doi.org/10.1227/00006123-200206000-00021.

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34

Riggs, Patrick N., and James A. DeWeese. "CAROTID ENDARTERECTOMY." Surgical Clinics of North America 78, no. 5 (October 1998): 881–900. http://dx.doi.org/10.1016/s0039-6109(05)70356-x.

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35

Ellis, SimonJ. "Carotid endarterectomy." Lancet 346, no. 8966 (July 1995): 61. http://dx.doi.org/10.1016/s0140-6736(95)92697-6.

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36

Trobe, Jonathan D. "Carotid Endarterectomy." Ophthalmology 94, no. 6 (June 1987): 725–30. http://dx.doi.org/10.1016/s0161-6420(87)33388-3.

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37

Barnett, HJM. "Carotid endarterectomy." Lancet 363, no. 9420 (May 2004): 1486–87. http://dx.doi.org/10.1016/s0140-6736(04)16182-5.

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38

Brown, M. M. "Carotid endarterectomy." Biomedicine & Pharmacotherapy 47, no. 5 (January 1993): 220. http://dx.doi.org/10.1016/0753-3322(93)90063-q.

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39

Snell, Brian E., and Christopher M. Loftus. "Carotid Endarterectomy." Contemporary Neurosurgery 25, no. 20 (October 2003): 1–6. http://dx.doi.org/10.1097/00029679-200310150-00001.

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40

Snell, Brian E., and Christopher M. Loftus. "Carotid Endarterectomy." Contemporary Neurosurgery 25, no. 21 (October 2003): 1–10. http://dx.doi.org/10.1097/00029679-200310310-00001.

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41

Uno, Masaaki. "Carotid Endarterectomy." Japanese Journal of Neurosurgery 24, no. 12 (2015): 840–45. http://dx.doi.org/10.7887/jcns.24.840.

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42

Bailes, Julian E. "Carotid Endarterectomy." Neurosurgery 50, no. 6 (June 1, 2002): 1290–95. http://dx.doi.org/10.1097/00006123-200206000-00021.

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Abstract CAROTID ENDARTERECTOMY IS a procedure that has withstood the test of time and scientific scrutiny to remain an important technique for the surgical prevention of stroke. Several aspects of this operation are critical for success, i.e., improving on the natural history of carotid artery stenosis. The procedure is described in a stepwise manner, with emphasis on key steps for avoiding thrombotic or embolic complications.

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43

Gorelick, Philip B. "Carotid Endarterectomy." Journal of Neurosurgical Anesthesiology 2, no. 3 (September 1990): 203–5. http://dx.doi.org/10.1097/00008506-199009000-00010.

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44

de Sousa, Atos Alves, Baltazar Leão Reis, and Bruno Silva Costa. "Carotid Endarterectomy." Contemporary Neurosurgery 35, no. 7 (April 2013): 1–5. http://dx.doi.org/10.1097/01.cne.0000428370.54807.e2.

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45

de Sousa, Atos Alves, Baltazar Leão Reis, and Bruno Silva Costa. "Carotid Endarterectomy." Contemporary Neurosurgery 35, no. 8 (April 2013): 1–6. http://dx.doi.org/10.1097/01.cne.0000428768.49988.91.

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46

Barnett, Henry J. M., and Heather E. Meldrum. "Carotid Endarterectomy." Archives of Neurology 57, no. 1 (January 1, 2000): 40. http://dx.doi.org/10.1001/archneur.57.1.40.

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47

Ferguson, Gary G. "Carotid Endarterectomy." Archives of Neurology 43, no. 6 (June 1, 1986): 615. http://dx.doi.org/10.1001/archneur.1986.00520060075022.

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48

Ojemann, Robert G. "Carotid Endarterectomy." Archives of Neurology 43, no. 6 (June 1, 1986): 617. http://dx.doi.org/10.1001/archneur.1986.00520060077023.

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49

Hachinski, V. "Carotid Endarterectomy." Archives of Neurology 44, no. 6 (June 1, 1987): 654. http://dx.doi.org/10.1001/archneur.1987.00520180072021.

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50

Gorelick, Philip B. "Carotid Endarterectomy." Stroke 30, no. 9 (September 1999): 1745–50. http://dx.doi.org/10.1161/01.str.30.9.1745.

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