RT Book, Section
A1 Longo, Christopher
A1 Berguer, Ramon
A2 Minter, Rebecca M.
A2 Doherty, Gerard M.
SR Print(0)
ID 6563423
T1 Chapter 35. Carotid Endarterectomy
T2 Current Procedures:  Surgery
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-145316-5
LK accesssurgery.mhmedical.com/content.aspx?aid=6563423
RD 2024/04/18
AB Asymptomatic  carotid  stenosis  >  60%  by  angiography  or  70%  by  duplex  ultrasound.Symptomatic  carotid  stenosis  (cerebrovascular  accident,  transient  ischemic  attack,  or  amaurosis  fugax)  >  50%.Carotid  endarterectomy  can  be  performed  safely  under  regional  anesthesia  in  patients  with  severe  chronic  obstructive  pulmonary  disease,  coronary  artery  disease  (CAD),  and  other  comorbidities.Carotid  stenting  can  be  considered  in  patients  with  a  history  of  neck  irradiation,  modified  radical  neck  dissection,  or  reoperative  carotid  endarterectomy.Only  patients  with  concurrent  symptomatic  carotid  stenosis  and  symptomatic  CAD  should  be  considered  for  combined  carotid  endarterectomy  and  coronary  artery  bypass  grafting.