Early Carotid Endarterectomy Provides a Better Neurological Outcome in Symptomatic Patients: A Single-Center Experience

Varetto, Gianfranco; Gibello, Lorenzo; Sperti, Francesca; Trevisan, Alessandra; Frola, Edoardo; Garneri, Paolo; Rispoli, Pietro

doi:10.1016/j.avsg.2017.05.016

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…In a previous investigation, Varetto et al 19 assessed the impact of early CEA on postoperative complications related to stroke or death in patients with symptomatic CAS. They compared patients who underwent surgery within 2 weeks to those operated on after 2 weeks and suggested that those who received earlier treatment were more likely to have a better neurological outcome.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of carotid endarterectomy

AlSheikh,

Aljabri,

Alanezi

et al. 2024

SMJ

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Objectives: To analyze the outcomes of carotid endarterectomy in individuals with carotid artery stenosis in the context of a tertiary care center. Methods: We carried out a retrospective cohort investigation between 2015-2022. Patient data includes demographics, risk factors, preoperative medications, and operative details. The primary outcomes were 30-day postoperative stroke and mortality rates, while the secondary outcome of the study was to assess the morbidity of the procedure. Results: The mean age of the 54 patients was 66.9±9.88 years, and 57.4% were men. The 30-day stroke rate was 3.7%, and the mortality rate was 1.9%. Most patients did not develop postoperative complications; however, surgical site hematoma was the most common complication encountered (12.9%). Long-term follow-up showed disease regression in 68.5% of patients, with a minority of patients developing ipsilateral restenosis. Admission to an intensive care monitoring unit was the only independent predictor of postoperative complications. Conclusion: This study provided insights into the outcomes of carotid endarterectomy in patients with carotid artery stenosis, emphasizing the importance of careful patient selection and postoperative monitoring. Perioperative risks, including stroke and mortality, were within acceptable limits. Further research incorporating structured and non-structured data for predictive analyses, should explore refining patient profiling and optimizing treatment approaches for different carotid artery stenosis clinical and morphological presentations.

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Section: Discussionmentioning

confidence: 99%

Outcomes of carotid endarterectomy

AlSheikh,

Aljabri,

Alanezi

et al. 2024

SMJ

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“…Internal carotid artery stenosis (ICAS) is an important cause of ischemic stroke. Early diagnosis and treatment of ICAS can reduce the incidence of ischemic attack (TIA) or cerebral infarction in ICAS patients 3 . According to the relevant guidelines published by the European Society of Cardiology in 2018 4 ,carotid ultrasound is recommended as the preferred method for the assessment of carotid artery disease.…”

Section: Introductionmentioning

confidence: 99%

Application of ultrasound in the evaluation of internal carotid artery stenosis

2023

FMSR

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Internal carotid artery stenosis (ICAS) is one of the most important factors leading to ischemic stroke due to various etiologies. The choice of clinical individualized treatment plan varies according to the severity of the lesion. With the continuous improvement of current diagnosis and treatment standards, higher demands are placed on the evaluation of ultrasonic imaging characteristics of ICAS. Ultrasound can not only identify the etiology of ICAS, grade the severity of stenosis, and evaluate cerebral blood perfusion, but also conduct long-term follow-up to evaluate treatment effectiveness and the control of risk factors. Accurate classification and evaluation of ICAS lesions by ultrasound imaging provide scientific and reliable objective information for clinical diagnosis and treatment, thereby assisting in the selection of clinical individualized treatment. Therefore, this article reviews the clinical application and progress of ultrasound in the evaluation of ICAS.

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