Carotid endarterectomy—an evidence-based review: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology

Guidelines on myocardial revascularization

“…Carotid revascularization in patients scheduled for coronary artery bypass grafting or percutaneous coronary intervention In patients with previous TIA or non-disabling stroke and a carotid artery stenosis (50 99% in men and 70 99% in women) the risk of stroke after CABG is high, and CEA by experienced teams may reduce the risk of stroke or death [145] (see figure in Appendix for methods of measuring carotid artery stenosis). There is no guidance on whether the procedures should be staged or synchronous.…”

Postoperative neurocognitive and psycho-emotional disorders in patients with internal carotid arteries atherosclerosis after carotid endarterectomy

“…По мне-нию S. Chaturvedi и др. [40], общее количество операций КЭ в мировых масштабах, производимых ежегодно, будет постепенно увеличиваться из-за общего старения населе-ния.…”

Prevention of Recurrent Ischemic Stroke

“…They are carotid endarterectomy, extracranial/intracranial bypass, and carotid artery balloon angioplasty and stenting. 4,34 Carotid endarterectomy is the best-studied surgical intervention. It has been shown to prevent stroke compared with medical management in carefully selected patients.…”

“…Only certain patients will benefit from surgery, based on degree of stenosis and other risk factors (Table 3). 4,34 A recent RCT showed that patients with carotid artery balloon angioplasty and stenting had higher rates of death and recurrent stroke than patients with carotid endarterectomy. 35 Because of this increased risk, carotid artery balloon angioplasty and stenting may only benefit patients with severe stenosis (more than 75 percent) who have a history of trauma or surgeries to the neck that make them difficult to access with carotid endarterectomy or re-stenosis after carotid endarterectomy.…”