Superficial or deep cervical plexus block for carotid endarterectomy
: a systematic review of complications.
Thirty-day morbidity and mortality rates for carotid artery intervention by surgeons who perform both carotid endarterectomy
and carotid artery angioplasty and stent placement.
Los objetivos del estudio se discriminaron segun la clasificacion neurologica, teniendo en cuenta los lineamientos expuestos por los estudios mas significativos en el area, como lo son el ACAS (Endarterectomy for Asymptomatic Carotid Artery Stenosis) y el NASCET (North American Symptomatic Carotid Endarterectomy
* It remains unclear whether women benefit as much as men do from carotid endarterectomy
. Information also is lacking for other important subsets of patients, including the elderly and various racial/ethnic groups.
"Carotid artery stenting has emerged as an alternative to carotid endarterectomy
for the treatment of carotid artery occlusive disease," the authors write as background information in the article.
European researchers found a higher rate of stroke, death or heart attacks among stent patients after four months compared with those who underwent a carotid endarterectomy
, according to results published in the Lancet.
CAS is emerging as an equivalent and even better alternative to carotid endarterectomy
in the management of carotid artery stenosis in high-risk surgical patients according to a recent trial (Yadav et al., 2004).
Carotid artery occlusive disease is responsible for approximately 20% to 30% of strokes (1), and carotid endarterectomy
(CEA) has been proven effective in reducing this risk of stroke in symptomatic and asymptomatic patients with >60% carotid stenosis (2, 3).
Intervention entails carotid endarterectomy
(CEA) or carotid stent placement (CAS).
The neurologist should have ordered an urgent carotid endarterectomy
, which would have prevented a major stroke.
"The performance and exceptional handling characteristics of our tissue products make them appropriate for a number of vascular applications, including carotid endarterectomy
, which should complement LeMaitre Vascular's gold-standard Pruitt-Inahara Carotid Shunt line.
Therefore, this study was performed to test the hypothesis that Lp-PLA(2) expression is higher in symptomatic than in asymptomatic carotid plaques of patients undergoing carotid endarterectomy
. METHODS: The expression of Lp-PLA(2) in 167 carotid artery plaques was determined by immunoblotting and immunostaining.