- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
(p. 137) Symptomatic Cervical Carotid Artery Stenosis
- Chapter:
- (p. 137) Symptomatic Cervical Carotid Artery Stenosis
- Author(s):
David Dornbos
, Brandon Burnsed
, and Adam Arthur
- DOI:
- 10.1093/med/9780190887728.003.0015
Abstract: This chapter discusses the medical and surgical management of carotid artery disease, including both surgical and endovascular revascularization. Surgical treatment for symptomatic cervical carotid artery stenosis is one of the most effective means of preventing ischemic stroke. It has been validated through multiple high-quality prospective surgical trials. There is substantial reduction of stroke risk versus best medical management with treatment of carotid stenosis via carotid endarterectomy. Although endovascular management with carotid artery angioplasty and stenting has emerged as another high-quality treatment, carotid endarterectomy remains the treatment of choice for patients who are of acceptable medical risk for surgery. The details of the carotid endarterectomy procedure and its perioperative management are discussed.
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- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
