Surgery For Symptomatic Carotid Stenosis

Symptomatic carotid stenosis carries a stroke risk of approximately 15% in the year following a motor or sensory neurological event, with the sequelae of amaurosis fugax having a more benign prognosis. While antiplatelet treatment will reduce the risk of further events to 8% per year, before 1992 the evidence for efficacy of carotid endarterectomy was not scientifically sound. Publications were based on personal series with poor classification of degree of stenosis, presence

Figure 1.3 Digital subtraction carotid angiogram revealing a deep ulcerated plaque in the left carotid bulb and a severe irregular stenosis of the internal carotid artery on the right. Biplanar views are required to confirm the degree of stenosis on the right. The vertebral artery is filled on the left.

Figure 1.3 Digital subtraction carotid angiogram revealing a deep ulcerated plaque in the left carotid bulb and a severe irregular stenosis of the internal carotid artery on the right. Biplanar views are required to confirm the degree of stenosis on the right. The vertebral artery is filled on the left.

or absence of symptoms, use of antiplatelet medication, and duration of follow up.

Was this article helpful?

0 0
Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

Get My Free Ebook


Post a comment