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- Carotid_endarterectomy abstract "Carotid endarterectomy (CEA) is a surgical procedure used to reduce the risk of stroke, by correcting stenosis (narrowing) in the common carotid artery or internal carotid artery. Endarterectomy is the removal of material on the inside (end-) of an artery.Atherosclerosis causes plaque to form in the carotid arteries, usually at the fork where the common carotid artery divides into the internal and external carotid artery. The plaque can build up in the inner surface of the artery (lumen), and narrow or constrict the artery. Pieces of the plaque, called emboli, can break off (i.e. embolize) and travel up the internal carotid artery to the brain, where it blocks circulation, and can cause death of the brain tissue.Sometimes the plaque causes temporary symptoms first, known as TIAs, where transient ischemia occurs in the brain, spinal cord, or retina without causing an infarction. Symptomatic stenosis has a high risk of stroke within the next 2 days. National Institute for Health and Clinical Excellence (NICE) guidelines recommend that patients with moderate to severe (50–99% blockage) stenosis, and symptoms, should have "urgent" endarterectomy within 2 weeks.When the plaque doesn't cause symptoms, patients are still at higher risk of stroke than the general population, but not as high as patients with symptomatic stenosis. The incidence of stroke, including fatal stroke, is 1–2% per year. The surgical mortality of endarterectomy ranges from 1–2% to as much as 10%. Two large randomized clinical trials have demonstrated that carotid surgery done with a 30-day stroke and death risk of 3% or less will benefit asymptomatic patients with ≥60% stenosis who are expected to live at least 5 years after surgery. Surgeons are divided over whether asymptomatic patients should be treated with medication alone or should have surgery.In endarterectomy, the surgeon opens the artery and removes the plaque. The plaque forms and enlarges in the inner layer of the artery, or endothelium, hence the name of the procedure which simply means removal of the endothelium of the artery. A newer procedure, endovascular angioplasty and stenting, threads a catheter up from the groin, around the aortic arch, and up the carotid artery. The catheter uses a balloon to expand the artery, and inserts a stent to hold the artery open. In several clinical trials, the 30-day incidence of heart attack, stroke, or death was significantly higher with stenting than with endarterectomy (9.6% vs. 3.9%) The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) funded by the National Institutes of Health (NIH) reported that the results of stents and endarterectomy were comparable. However, the European International Carotid Stenting Study (ICSS) found that stents had almost double the rate of complications.".
- Carotid_endarterectomy thumbnail Gray513.png?width=300.
- Carotid_endarterectomy wikiPageExternalLink gr049005.htm.
- Carotid_endarterectomy wikiPageID "2771113".
- Carotid_endarterectomy wikiPageLength "20078".
- Carotid_endarterectomy wikiPageOutDegree "52".
- Carotid_endarterectomy wikiPageRevisionID "677758872".
- Carotid_endarterectomy wikiPageWikiLink Anaesthesia.
- Carotid_endarterectomy wikiPageWikiLink Anatomical_terms_of_location.
- Carotid_endarterectomy wikiPageWikiLink Anesthesia.
- Carotid_endarterectomy wikiPageWikiLink Angioplasty.
- Carotid_endarterectomy wikiPageWikiLink Aorta.
- Carotid_endarterectomy wikiPageWikiLink Artery.
- Carotid_endarterectomy wikiPageWikiLink Atheroma.
- Carotid_endarterectomy wikiPageWikiLink Atherosclerosis.
- Carotid_endarterectomy wikiPageWikiLink Atherosclerotic.
- Carotid_endarterectomy wikiPageWikiLink Bleeding.
- Carotid_endarterectomy wikiPageWikiLink Brain.
- Carotid_endarterectomy wikiPageWikiLink Carotid_artery_stenosis.
- Carotid_endarterectomy wikiPageWikiLink Carotid_stenosis.
- Carotid_endarterectomy wikiPageWikiLink Category:Neurosurgery.
- Carotid_endarterectomy wikiPageWikiLink Category:Stroke.
- Carotid_endarterectomy wikiPageWikiLink Category:Vascular_surgery.
- Carotid_endarterectomy wikiPageWikiLink Common_carotid_artery.
- Carotid_endarterectomy wikiPageWikiLink Comorbidity.
- Carotid_endarterectomy wikiPageWikiLink Computed_tomography_angiography.
- Carotid_endarterectomy wikiPageWikiLink Electroencephalography.
- Carotid_endarterectomy wikiPageWikiLink Emboli.
- Carotid_endarterectomy wikiPageWikiLink Embolism.
- Carotid_endarterectomy wikiPageWikiLink Endarterectomy.
- Carotid_endarterectomy wikiPageWikiLink Endothelium.
- Carotid_endarterectomy wikiPageWikiLink Fasciculation.
- Carotid_endarterectomy wikiPageWikiLink Fasciculations.
- Carotid_endarterectomy wikiPageWikiLink Femoral_artery.
- Carotid_endarterectomy wikiPageWikiLink Hematoma.
- Carotid_endarterectomy wikiPageWikiLink Hemorrhage.
- Carotid_endarterectomy wikiPageWikiLink Hemostasis.
- Carotid_endarterectomy wikiPageWikiLink Houston_Methodist_Hospital.
- Carotid_endarterectomy wikiPageWikiLink Hyperperfusion_syndrome.
- Carotid_endarterectomy wikiPageWikiLink Hypoglossal_nerve.
- Carotid_endarterectomy wikiPageWikiLink Infarction.
- Carotid_endarterectomy wikiPageWikiLink Lumen_(anatomy).
- Carotid_endarterectomy wikiPageWikiLink Magnetic_resonance_angiography.
- Carotid_endarterectomy wikiPageWikiLink Medical_ultrasonography.
- Carotid_endarterectomy wikiPageWikiLink Medical_ultrasound.
- Carotid_endarterectomy wikiPageWikiLink Michael_E._DeBakey.
- Carotid_endarterectomy wikiPageWikiLink Mortality_rate.
- Carotid_endarterectomy wikiPageWikiLink National_Institute_for_Health_and_Care_Excellence.
- Carotid_endarterectomy wikiPageWikiLink National_Institute_for_Health_and_Clinical_Excellence.
- Carotid_endarterectomy wikiPageWikiLink National_Institutes_of_Health.
- Carotid_endarterectomy wikiPageWikiLink Number_needed_to_treat.
- Carotid_endarterectomy wikiPageWikiLink Shunt_(medical).
- Carotid_endarterectomy wikiPageWikiLink St_Marys_Hospital,_London.
- Carotid_endarterectomy wikiPageWikiLink Stent.
- Carotid_endarterectomy wikiPageWikiLink Sternocleidomastoid_muscle.
- Carotid_endarterectomy wikiPageWikiLink Stroke.
- Carotid_endarterectomy wikiPageWikiLink Surgery.
- Carotid_endarterectomy wikiPageWikiLink Surgical_suture.
- Carotid_endarterectomy wikiPageWikiLink The_Methodist_Hospital.
- Carotid_endarterectomy wikiPageWikiLink Therapeutic_index.
- Carotid_endarterectomy wikiPageWikiLink Tongue.
- Carotid_endarterectomy wikiPageWikiLink Trachea.
- Carotid_endarterectomy wikiPageWikiLink University_of_Lisbon.
- Carotid_endarterectomy wikiPageWikiLink Vertebrate_trachea.
- Carotid_endarterectomy wikiPageWikiLink File:Blausen_0172_CarotidEndarterectomy.png.
- Carotid_endarterectomy wikiPageWikiLink File:Carotid_Plaque.jpg.
- Carotid_endarterectomy wikiPageWikiLink File:Gray513.png.
- Carotid_endarterectomy wikiPageWikiLinkText "Carotid endarterectomy".
- Carotid_endarterectomy wikiPageWikiLinkText "carotid endarterectomies".
- Carotid_endarterectomy wikiPageWikiLinkText "carotid endarterectomy (CEA)".
- Carotid_endarterectomy wikiPageWikiLinkText "carotid endarterectomy".
- Carotid_endarterectomy wikiPageWikiLinkText "surgery to open up the arteries to the brain".
- Carotid_endarterectomy hasPhotoCollection Carotid_endarterectomy.
- Carotid_endarterectomy meshid "D016894".
- Carotid_endarterectomy name "Carotid endarterectomy".
- Carotid_endarterectomy wikiPageUsesTemplate Template:Infobox_interventions.
- Carotid_endarterectomy wikiPageUsesTemplate Template:Reflist.
- Carotid_endarterectomy wikiPageUsesTemplate Template:Vascular_surgery_procedures.
- Carotid_endarterectomy subject Category:Neurosurgery.
- Carotid_endarterectomy subject Category:Stroke.
- Carotid_endarterectomy subject Category:Vascular_surgery.
- Carotid_endarterectomy hypernym Procedure.
- Carotid_endarterectomy type AnatomicalStructure.
- Carotid_endarterectomy type Specialty.
- Carotid_endarterectomy comment "Carotid endarterectomy (CEA) is a surgical procedure used to reduce the risk of stroke, by correcting stenosis (narrowing) in the common carotid artery or internal carotid artery. Endarterectomy is the removal of material on the inside (end-) of an artery.Atherosclerosis causes plaque to form in the carotid arteries, usually at the fork where the common carotid artery divides into the internal and external carotid artery.".
- Carotid_endarterectomy label "Carotid endarterectomy".
- Carotid_endarterectomy sameAs Category:Carotid_endarterectomy.
- Carotid_endarterectomy sameAs Karotická_endarterektomie.
- Carotid_endarterectomy sameAs اندآرترکتومی_کاروتید.
- Carotid_endarterectomy sameAs m.081q68.
- Carotid_endarterectomy sameAs Q5045544.
- Carotid_endarterectomy sameAs Q5045544.
- Carotid_endarterectomy wasDerivedFrom Carotid_endarterectomy?oldid=677758872.
- Carotid_endarterectomy depiction Gray513.png.
- Carotid_endarterectomy isPrimaryTopicOf Carotid_endarterectomy.