AI Article Synopsis
- This literature review analyzes recent studies on carotid endarterectomy, comparing the effectiveness of the eversion technique versus classical surgery with patch repair.
- It explores the optimal choice between carotid endarterectomy and angioplasty with stenting, the timing for brain revascularization post-ischemic stroke, and the necessity of using a temporary shunt during surgery.
- The review also addresses prevention and treatment of intraoperative ischemic strokes, strategies for patients with both carotid and coronary artery issues, causes of internal carotid artery restenosis, and the safety of carotid endarterectomy in elderly patients.
Article Abstract
This review of the literature analyzes publications over the past five years on various problems associated with carotid endarterectomy: 1. Is the eversion or classical technique of surgery with plastic repair of the reconstruction area with a patch more effective? 2. Carotid endarterectomy or carotid angioplasty with stenting is more optimal? 3. When should brain revascularization be performed after the development of ischemic stroke? 4. Should a temporary shunt be used to protect the brain during carotid endarterectomy? 5. How to prevent and treat different types of intraoperative ischemic strokes? 6. What tactics of treatment of patients with combined lesions of the carotid and coronary arteries is more effective? 7. What are the causes and methods of elimination of restenosis of the internal carotid artery known? 8. Is carotid endarterectomy safe in old age?
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| http://dx.doi.org/10.1016/j.cpcardiol.2023.101676 | DOI Listing |
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