Role of residual defects following carotid endarterectomy in the occurrence of cerebrovascular symptoms.
Carotid endarterectomy deals successfully with carotid atheromatous lesions, thus eliminating a potential source of cerebral emboli. At times, however, residual hemodynamic irregularities may occur as a result of technique imperfection or anatomic variations. These irregularities have been associated with a number of immediate and late postoperative complications, such as recurrent cerebrovascular symptoms and secondary episodes of stroke. For this reason, the detection of flow abnormalities or intimal defects in patients undergoing carotid endarterectomy and the achievement of normal intraoperative and postoperative hemodynamics are essential for the elimination of potentially life-threatening perioperative and late cerebrovascular events.
Liapis
Christos D
CD
Department of Vascular Surgery, Athens University Medical School, Athens, Greece.
Paraskevas
Kosmas I
KI
D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D002533:Cerebral Angiography; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D009422:Nervous System Diseases / Q000209:etiology* / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D055502:Secondary Prevention; D020521:Stroke / Q000209:etiology* / Q000517:prevention & control; D018616:Ultrasonography, Doppler, Duplex