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Symptomatic Cervical Carotid Artery Stenosis 

Symptomatic Cervical Carotid Artery Stenosis
Chapter:
Symptomatic Cervical Carotid Artery Stenosis
Author(s):

David Dornbos

, Brandon Burnsed

, and Adam Arthur

DOI:
10.1093/med/9780190887728.003.0015
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date: 18 April 2021

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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