title: Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy.
abstract: OBJECTIVE
  Carotid endarterectomy is a standard treatment for symptomatic high-degree internal carotid artery stenosis. The aim of this article is to present possible intimal lesions after carotid endarterectomy. These lesions could be manifested as intimal flaps, intimal steps or dissections with or without occlusion or stenosis of the artery.
  
  
  METHODS
  The evaluation of the frequency and characteristics of the asymptomatic dissecting intimal lesions of the common carotid arteries was performed in a sample of 100 patients who underwent endarterectomy for symptomatic high-grade stenosis of the internal carotid artery.
  
  
  RESULTS
  We found five patients with asymptomatic dissecting intimal lesions of the common carotid arteries.
  
  
  CONCLUSIONS
  The most common causes of these intimal lesions were shunting and prolongation of the clamping time. Routine carotid ultrasound follow-up exams are necessary because of the potential need for a change in the antithrombotic therapy or due to a need to perform an endovascular treatment.
authors.affiliation: Stroke and Intensive Care Unit, Department of neurology, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia. hbudincevic@gmail.com.
authors.forename: Hrvoje
authors.initials: H
authors.lastname: Budincevic
authors.affiliation: Department of surgery, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia.
authors.forename: Ante
authors.initials: A
authors.lastname: Ivkosic
authors.affiliation: Department of surgery, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia.
authors.forename: Miran
authors.initials: M
authors.lastname: Martinac
authors.affiliation: Department of surgery, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Trajbar
authors.affiliation: Department of neurology, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Bielen
authors.affiliation: Department of neurology, Medical and Health Science Center, University of Debrecen, Nagyerdei Körút 98, P.O. Box 48, Debrecen, Hungary.
authors.forename: Laszlo
authors.initials: L
authors.lastname: Csiba
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D058070:Asymptomatic Diseases; D017536:Carotid Artery, Common; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid; D057510:Endovascular Procedures; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors; D017539:Tunica Intima
chemical_list: D005343:Fibrinolytic Agents
keywords: Carotid endarterectomy; Carotid ultrasound; Intimal lesions