title: Ascertainment of any and all neurologic and myocardial damage in carotid revascularization: the key to optimization?
abstract: The majority of carotid revascularization procedures performed at present are in asymptomatic patients. Since such procedures convey no immediate benefit, but rather protect from future hazard, optimization of procedural safety is mandatory. The authors focus their discussion on the methodologies that assess periprocedural myocardial damage and brain injury, as used in past clinical trials, from the fields of perioperative medicine and neurovascular imaging, and discuss methodologies to reduce both events in carotid revascularization.
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. blackshear.joseph@mayo.edu
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Blackshear
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Brott
mesh_terms: D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology; D015607:Stents; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology; D014656:Vascular Surgical Procedures / Q000009:adverse effects