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Topic: Carotid endarterectomy

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	Dr. Koop - Carotid Endarterectomy- Health Encyclopedia and Reference
		Carotid endarterectomy is a surgical procedure in which a stenosis (narrowing) or ulceration of an atherosclerotic plaque in the carotid artery is removed.
		When atherosclerosis has narrowed the carotid artery (one of the arteries supplying blood to the brain), carotid endarterectomy may reduce the risk of stroke.
		Based on current knowledge, carotid endarterectomy plus optimal medical treatment is highly effective in preventing stroke and death in symptomatic patients with carotid stenoses greater than 70 percent.
	www.drkoop.com /encyclopedia/43/641.html (371 words)

	Carotid Endarterectomy
		Carotid endarterectomy has now been shown to be effective in preventing subsequent ipsilateral strokes in patients with symptomatic severely stenotic (less than or equal to 70%) lesions at the origin of the internal carotid artery.(ref 1) Efficacy is achieved only if surgical morbidity is sufficiently low.
		Furthermore, endarterectomy is under study and may be considered in patients with hemodynamically significant asymptomatic atherosclerotic lesions at the origin of the internal carotid artery.
		Carotid noninvasive studies are divided into studies that assess flow and vascular morphology at the bifurcation of the common carotid artery (i.e.
	neurosurgery.mgh.harvard.edu /Neurovascular/v-f-93-1.htm (1201 words)

	Carotid endarterectomy - Wikipedia, the free encyclopedia
		Carotid endarterectomy is a surgical procedure used to correct carotid stenosis (obstruction of the carotid artery by atheroma), used particularly when this causes medical problems, such as transient ischemic attacks (TIAs) or cerebrovascular accidents (CVAs, strokes).
		Angioplasty and stenting of the carotid artery is emerging as an alternative to carotid endarterectomy.
		Carotid stenosis is diagnosed with ultrasound doppler studies of the neck arteries or magnetic resonance arteriography (MRA).
	en.wikipedia.org /wiki/Carotid_endarterectomy (422 words)

	Should I have carotid endarterectomy for stroke or transient ischemic attack (TIA)? (Site not responding. Last check: 2007-10-20)
		Carotid endarterectomy is surgery to remove plaque buildup that causes narrowing (stenosis) in the carotid artery.
		Carotid endarterectomy is surgery to remove plaque from one or both carotid arteries.
		Carotid artery stenting is a procedure similar to one commonly used to open narrowed arteries in the heart.
	www.luhs.org /health/kbase/htm/aa43/099/aa43099.htm (1560 words)

	Carotid Endarterectomy / Carotid Angioplasty with Stenting - Stanford Hospital & Clinics - Stanford University Medical ... (Site not responding. Last check: 2007-10-20)
		Carotid endarterectomy (CEA) and carotid artery angioplasty with stenting (CAS) are procedures performed to treat carotid artery disease in certain circumstances.
		Carotid artery disease is similar to coronary artery disease, in which blockages occur in the arteries of the heart, and may cause a heart attack.
		Carotid endarterectomy may be performed to treat a blockage or narrowing of the carotid arteries, thus improving blood supply to the brain.
	www.stanfordhospital.com /healthLib/greystone/heartCenter/heartProcedures/carotidEndarterectomyCarotidAngioplastywithStenting.html (3982 words)

	NeurosurgeryToday.org \| What is Neurosurgery \| Patient Education Materials \| carotid endarterectomy
		Carotid endarterectomy is a common vascular surgical procedure which may help prevent your risk of having a stroke.
		Carotid arteries are located on each side of your neck and extend from your aorta in your chest to the base of your skull.
		Carotid stenting is a procedure in which a tiny, slender metal-mesh tube is fitted inside your carotid artery to increase the flow of blood blocked by plaques.
	www.neurosurgerytoday.org /what/patient_e/carotid.asp (1357 words)

	MedlinePlus Medical Encyclopedia: Carotid artery surgery
		Carotid artery surgery is a surgical procedure to restore adequate blood flow to the brain.
		If you develop a thrombus in the internal carotid artery or an embolism in a smaller blood vessel, you may experience symptoms such as blurred vision, slurred speech, or weakness (all signs of stroke).
		This may be accomplished either by a surgery called endarterectomy or a procedure known as angioplasty with stent placement.
	www.nlm.nih.gov /medlineplus/ency/article/002951.htm (872 words)

	CAROTID ENDARTERECTOMY
		A carotid endarterectomy is a surgical procedure which re-tunnels the narrowed or blocked lumen (space within the blood vessel) of the carotid artery.
		The major causes of mortality and morbidity for carotid endarterectomy surgery are myocardial infarction, stroke, neurological deficit (transient and permanent), temporary loss of certain cranial nerve function (resulting in notable paralysis to muscles in the mouth, throat, neck and shoulders), permanent vocal cord paralysis and neck haematoma.
		The object of surgical correction of carotid artery stenosis is to remove the atheromatous lesion(s) and to restore the patency of the vessel to near-normal.
	www.bhj.org /journal/2002_4403_jul/case_441.htm (1475 words)

	Newswise
		Carotid endarterectomy is a surgical procedure that removes plaque and fatty deposits from blocking the carotid arteries which are the main suppliers of blood for the brain.
		The guideline found that carotid endarterectomy is effective for patients with severe stenosis (narrowing in a carotid artery) and recent symptoms of stroke or transient ischemic attack (TIA or mini-stroke).
		Carotid endarterectomy may also be considered for patients with moderate (50 to 69 percent) stenosis and recent symptoms of stroke.
	www.newswise.com /articles/view/514703 (570 words)

	Transient Ischemic Attack (TIA) - Quest Diagnostics Patient Health Library (Site not responding. Last check: 2007-10-20)
		Carotid endarterectomy is appropriate if your carotid arteries are significantly blocked (50% to 70% or more) and you have had one or more TIAs.
		Carotid endarterectomies are most successful when they are done by a surgeon who is well trained in the procedure and in a hospital that is well equipped to take care of any complications that may occur during or after the procedure.
		If you are considering carotid endarterectomy, ask the hospital or state medical board about the number of times complications have occurred in people that your doctor has treated with this surgery and the complication rate at the hospital where the surgery is to be done.
	www.questdiagnostics.com /kbase/topic/major/hw226606/surgtrt.htm (543 words)

	Postgraduate Medicine: Carotid endarterectomy
		Carotid endarterectomy is appropriate treatment to reduce the risk of ipsilateral stroke in all patients with symptomatic carotid artery stenosis of 50% to 69% who have had a recent nondisabling hemispheric stroke.
		Carotid endarterectomy is not a treatment for stroke or TIA but is performed only to reduce the risk of stroke.
		Carotid angioplasty with or without stenting is still being evaluated in clinical trials to determine its role in reducing the risk of stroke in patients with carotid artery stenosis.
	www.postgradmed.com /issues/2000/05_00/ingall_dodick.htm (3921 words)

	Carotid endarterectomy Information
		Carotid endarterectomy is a surgical procedure used to correct carotid stenosis (obstruction of the carotid artery by atheroma), used particularly when this causes medical problems, such as transient ischemic attacks (TIAs) or cerebrovascular accidents (CVAs, strokes).
		Angioplasty and stenting of the carotid artery is emerging as an alternative to carotid endarterectomy.
		Carotid stenosis is diagnosed with ultrasound doppler studies of the neck arteries or magnetic resonance arteriography (MRA).
	www.bookrags.com /Carotid_endarterectomy (399 words)

	Carotid Endarterectomy Update
		Carotid endarterectomy provided a statistically significant benefit with an absolute risk reduction of 5.8%, and a relative risk reduction of 55% in the risk of the primary endpoint of stroke within five years.
		Three trial regarding the role of carotid endarterectomy in the treatment of patients with symptomatic carotid stenosis were generally in concurrence.
		Carotid endarterectomy symptomatic stenosis >50% ipsilateral stroke/crescendo TIA (VA CSP 309)
	neurosurgery.mgh.harvard.edu /Neurovascular/cea.htm (821 words)

	Carotid Endarterectomy - Texas Heart Institute Heart Information Center
		Carotid endarterectomy is a type of surgery used to remove plaque from the carotid artery.
		Studies have shown that a carotid endarterectomy works better than medicines alone in preventing a stroke in people with blockages in the carotid arteries.
		But a carotid endarterectomy may not be suitable for everyone, because the procedure can be risky for patients whose overall health is poor.
	texasheart.org /HIC/Topics/Proced/carotidendar.cfm (1366 words)

	Carotid Atherosclerosis
		This is a noninvasive modality for imaging the carotid arteries using MRI.
		While carotid endarterectomy has been proven to reduce the risk of stroke, the most common complication associated with surgery is, in fact, stroke, itself.
		We have published extensively in the area of carotid artery disease, and these papers may be seen in the "Curriculum Vitae" of our surgeons.
	www.med.nyu.edu /fgpvascular/conditions/carotid.html (671 words)

	Questions and Answers About Carotid Endarterectomy: National Institute of Neurological Disorders and Stroke (NINDS)
		A carotid endarterectomy is a surgical procedure in which a doctor removes fatty deposits blocking one of the two carotid arteries, the main supply of blood for the brain.
		Atherosclerosis in the carotid arteries, two large arteries in the neck that carry blood to the brain, is a major risk factor for ischemic stroke.
		The NINDS-supported North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the NINDS-supported Asymptomatic Carotid Atherosclerosis Study (ACAS) were launched in the mid-1980s to identify the specific groups of people with carotid artery disease who would clearly benefit from the procedure.
	www.ninds.nih.gov /disorders/stroke/carotid_endarterectomy_backgrounder.htm (1383 words)

	Patch angioplasty versus primary closure for carotid endarterectomy
		Carotid endarterectomy is an operation that involves opening the carotid artery to remove this narrowing and therefore, reduce the risk of stroke.
		Carotid patch angioplasty (with either a venous or a synthetic patch) may reduce the risk of carotid artery restenosis and subsequent ischaemic stroke.
		Carotid patch angioplasty was associated with a reduction in the risk of stroke of any type (OR = 0.33, p = 0.004), ipsilateral stroke (OR = 0.31, p = 0.0008), and stroke or death, during the perioperative period (OR = 0.39, p = 0.007) and long term follow-up (OR = 0.59, p = 0.004).
	www.cochrane.org /reviews/en/ab000160.html (690 words)

	Carotid Artery Disease - Texas Heart Institute Heart Information Center
		Carotid artery disease is a form of disease that affects the vessels leading to the head and brain (cerebrovascular disease).
		Carotid angioplasty involves using a balloon catheter to flatten plaque blockages against the artery wall, opening the passageway.
		Carotid endarterectomy removes fatty plaque from neck arteries.
	texasheart.org /HIC/Topics/Cond/CarotidArteryDisease.cfm (1188 words)

	Spencer Technologies Reference - Carotid Endarterectomy
		Carotid endarterectomy without a shunt for symptomatic lesions associated with contralateral severe stenosis or occlusion.
		On-table diagnosis of incipient carotid artery thrombosis during carotid endarterectomy by transcranial Doppler scanning.
		Carotid plaque ulceration and lumen thrombus are the main sources of cerebral microemboli.
	www.spencertechnologies.com /reference/cea.htm (693 words)

	Carotid Endarterectomy - Page 1
		During surgery, the plaque is stripped away from the inner lining of a carotid artery, increasing blood flow to the brain.
		Carotid endarterectomy shows significant benefit for patients with symptomatic disease and a 70 to 99 percent blockage of their carotid arteries.
		Carotid endarterectomy is not recommended for patients with less than 50 percent blockage.
	heart.healthcentersonline.com /stroke/carotidendarterectomy.cfm (517 words)

	Carotid endarterectomy for asymptomatic carotid stenosis: a meta-analysis British Medical Journal - Find Articles
		Conclusion Carotid endarterectomy in patients with asymptomatic carotid stenosis unequivocally reduces the incidence of ipsilateral stroke, though the absolute benefit is relatively small.
		Given the modest benefit of surgery for unselected patients with asymptomatic carotid artery stenosis carotid endarterectomy cannot be routinely recommended for these patients pending reliable identification of high risk subgroups, and medical management is a sensible alternative for most patients.
		Asymptomatic carotid stenosis is common, often detected incidentally or in a patient with cervical bruit.
	www.findarticles.com /p/articles/mi_m0999/is_7171_317/ai_53459095 (699 words)

	Healthopedia.com - Carotid Endarterectomy (CEA)
		Carotid endarterectomy (CEA) is a procedure used to remove a blockage in the carotid artery to prevent a stroke from occurring.
		The carotid arteries are blood vessels located in the neck that supply blood to the brain.
		A carotid endarterectomy is usually done in the hospital using general anesthesia.
	www.healthopedia.com /carotid-endarterectomy (688 words)

	VascularWeb: Carotid Endarterectomy
		Carotid endarterectomy is an operation during which your vascular surgeon removes the inner lining of your carotid artery if it has become thickened or damaged.
		Carotid endarterectomy is one of the most commonly performed vascular operations, and is a safe and long-lasting treatment.
		Although a carotid endarterectomy maycan reduce your risk of stroke by removing the offending plaque, and although the procedure is quite durable, it does not completely stop plaque from building up again in susceptible individuals.
	www.vascularweb.org /_CONTRIBUTION_PAGES/Patient_Information/NorthPoint/Carotid_Endarterectomy.html (1210 words)

	Carotid Endarterectomy - Carotid Artery Surgery.
		Carotid endarterectomy is the surgical procedure to remove fatty plaque from neck arteries.
		Fatty plaque is deposited on the interior walls of the neck (carotid) atteries as a in a condition known as Carotid Artery Disease.
		Endarterectomy surgery is a treatment that has been proven safe and effective in providing long-term benefits to patients.
	www.texheartsurgeons.com /CarotidEndarter.htm (631 words)

	Carotid Artery Occlusion - Patient UK
		Carotid endarterectomy is strongly recommended for severe symptomatic stenosis but not routinely recommended for asymptomatic patients or lesser degrees of stenosis.
		A carotid "bruit" may also be caused by a cardiac murmur transmitted to the neck or be due to stiff, calcified or torturous vessels in the absence of stenosis.
		Carotid endarterectomy should be performed as soon as the patient is fit for surgery, preferably within two weeks of a TIA
	www.patient.co.uk /showdoc/40000718 (1205 words)

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