Contents

Search

carotid artery revascularization

Complications: - perioperative subclinical cerebral ischemia occurs commonly, especially during carotid stenting, - cognitive deficits can result [1,2] - perioperative morbidity & mortality are substantial [3] - 30 day mortality = 1.2% & 2.3% for asymptomatic & symptomatic carotid stenosis, respectively - 30 day mortality among dialysis patients is 5% [3] - rate of stroke or death varies from 1%-6% across U.S. regions [4] - 2 year mortality = 28% & 37% for asymptomatic & symptomatic carotid stenosis, respectively [3]

Related

carotid artery disease

Specific

carotid artery stenting (CAS) carotid endarterectomy (CEA)

General

revascularization

References

  1. Tulip HH et al. Cerebral embolization in asymptomatic versus symptomatic patients after carotid stenting. J Vasc Surg 2012 Dec; 56:1579 PMID: 23040713
  2. Zhou W et al. Prospective neurocognitive evaluation of patients undergoing carotid interventions. J Vasc Surg 2012 Dec; 56:1571. PMID: 22889720
  3. Jalbert JJ et al. Outcomes after carotid artery stenting in Medicare beneficiaries, 2005 to 2009. JAMA Neurol 2015 Mar; 72:276. PMID: 25580726 - Yuo TH et al. Revascularization of asymptomatic carotid stenosis is not appropriate in patients on dialysis. J Vasc Surg 2015 Mar; 61:670 PMID: 25720927
  4. Shean KE et al. Regional variation in patient outcomes in carotid artery disease treatment in the Vascular Quality Initiative. J Vasc Surg 2018 Sep; 68:749. PMID: 29571620 https://www.jvascsurg.org/article/S0741-5214(18)30041-7/fulltext