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Carotid artery disease 

Carotid artery disease
Carotid artery disease

Peter M. Rothwell

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date: 05 July 2020

This chapter discusses carotid artery disease, including plaque activation and stroke risk, carotid endarterectomy, risks of carotid endarterectomy (stroke, haemorrhage and hyperperfusion, cardiovascular and respiratory complications, cranial and peripheral nerve injuries, and other local complications), potential benefits of carotid endarterectomy, selection of symptomatic patients for carotid intervention, characteristics indicating high or low risk of surgery (presenting event, age and gender, other patient factors, timing of surgery), which subgroups, or individuals, will benefit most from surgery for symptomatic carotid stenosis, patients with multiple potential causes of stroke, intervention for asymptomatic carotid stenosis (risk of carotid endarterectomy for asymptomatic carotid stenosis, range of stenosis, subgroups and individuals that will benefit most), and carotid intervention before or during coronary artery surgery.

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