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Indian Journal of Thoracic and Cardiovascular Surgery

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13-10-2023 | Carotid Endarterectomy | Invited Editorial

Carotid artery stenosis: stroke prevention procedure—indications, controversies, and challenges

Authors: Varinder Singh Bedi, Nikhil Sharma

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 1/2024

Excerpt

The treatment of symptomatic carotid artery stenosis (CAS) has been evolving over many decades. From being a condition with dismal outcomes, CAS management turned a new leaf with the successful conduct of the first carotid surgery by the doyen of vascular surgery himself (DeBakey, 1953 [1]). …

DeBakey ME. Successful carotid endarterectomy for cerebrovascular insufficiency: nineteen-year follow-up. JAMA. 1975;233:1083–5.CrossRefPubMed

Dyken ML, Pokras R. The performance of endarterectomy for disease of the extracranial arteries of the head. Stroke. 1984;15:948–50.CrossRefPubMed

Easton JD, Sherman DG. Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations. Stroke. 1977;8:565–8.CrossRefPubMed

Perkutane transluminale Katheterbehandlung supraaortaler arterienobstruktionen. Angio. 1981;3:47–50.

Brown MM, Rogers J, Bland JM. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. Lancet. 2001;357:1729–37.CrossRef

Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–501.CrossRefPubMed

Bonati LH, Dobson J, Featherstone RL, Ederle J, van der Worp HB, de Borst GJ, et al. Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis: the International Carotid Stenting Study (ICSS) randomised trial. Lancet. 2015;385:529–38.CrossRefPubMedPubMedCentral

Halsey JH. Risks and benefits of shunting in carotid endarterectomy. The International Transcranial Doppler Collaborators. Stroke. 1992;23:1583–7.

Moore WS, Yee JM, Hall AD. Collateral cerebral blood pressure. An index of tolerance to temporary carotid occlusion. Arch Surg. 1973;106:521–3.

10.

Heyer EJ, Mergeche JL, Anastasian ZH, Kim M, Mallon KA, Connolly ES. Arterial blood pressure management during carotid endarterectomy and early cognitive dysfunction. Neurosurgery. 2014;74:245–53.CrossRefPubMed

11.

Kazantsev A, Korotkikh A, Lider R, Lebedev O, Sirotkin A, Palagin P, et al. Results of carotid endarterectomy with the use of temporary shunts with reduced retrograde pressure in the internal carotid artery - analysis of the multicenter Russian register. Indian J Thorac Cardiovasc Surg. 2023;39:244–50.CrossRefPubMed

12.

Evans WE, Hayes JP, Waltke EA, Vermilion BD. Optimal cerebral monitoring during carotid endarterectomy: neurologic response under local anesthesia. J Vasc Surg. 1985;2:775–7.CrossRefPubMed

13.

GALA Trial Collaborative Group, Lewis SC, Warlow CP, Bodenham AR, Colam B, Rothwell PM, et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet Lond Engl. 2008;372:2132–42.

14.

Bond R, Rerkasem K, AbuRahma AF, Naylor AR, Rothwell PM. Patch angioplasty versus primary closure for carotid endarterectomy. Cochrane Database Syst Rev. 2004;CD000160.

15.

Naylor R, Rantner B, Ancetti S, de Borst GJ, De Carlo M, Halliday A, et al. Editor’s Choice - European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 2023;65:7–111.CrossRef

16.

Mehta M, Roddy SP, Darling RC, Paty PSK, Kreienberg PB, Ozsvath KJ, et al. Safety and efficacy of eversion carotid endarterectomy for the treatment of recurrent stenosis: 20-year experience. Ann Vasc Surg. 2005;19:492–8.CrossRefPubMed

17.

Khan KA, Bedi VS, Prabhu M, Agarwal S, Yadav A, Satwik A. An institutional experience of modified eversion endarterectomy in the management of carotid artery stenosis. Indian J Vasc Endovasc Surg. 2016;3:83.CrossRef

18.

Zhang X, Bai X, Feng Y, Zhang Y, Yang R, Yang Y, et al. Modified eversion carotid endarterectomy: a novel surgical technique for carotid artery stenosis treatment. Neurol India. 2022;70:1787.CrossRefPubMed

19.

Knappich C, Kuehnl A, Tsantilas P, Schmid S, Breitkreuz T, Kallmayer M, et al. The use of embolic protection devices is associated with a lower stroke and death rate after carotid stenting. JACC Cardiovasc Interv. 2017;10:1257–65.CrossRefPubMed

20.

Brott TG, Hobson RW, Howard G, Roubin GS, Clark WM, Brooks W, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363:11–23.CrossRefPubMedPubMedCentral

21.

Kashyap VS, King AH, Foteh MI, Janko M, Jim J, Motaganahalli RL, et al. A multi-institutional analysis of transcarotid artery revascularization compared to carotid endarterectomy. J Vasc Surg. 2019;70:123–9.CrossRefPubMed

22.

Ahmadi R, Willfort A, Lang W, Schillinger M, Alt E, Gschwandtner ME, et al. Carotid artery stenting: effect of learning curve and intermediate-term morphological outcome. J Endovasc Ther Off J Int Soc Endovasc Spec. 2001;8:539–46.

Title: Carotid artery stenosis: stroke prevention procedure—indications, controversies, and challenges
Authors: Varinder Singh Bedi
Nikhil Sharma
Publication date: 13-10-2023
Publisher: Springer Nature Singapore
Keywords: Carotid Endarterectomy
Stroke
Endarterectomy
Local Anesthesia in Dentistry
Published in: Indian Journal of Thoracic and Cardiovascular Surgery / Issue 1/2024
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI: https://doi.org/10.1007/s12055-023-01603-7

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Carotid artery stenosis: stroke prevention procedure—indications, controversies, and challenges

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