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Technical aspects of carotid revascularization 

Technical aspects of carotid revascularization
Chapter:
Technical aspects of carotid revascularization
Author(s):

A. Ross Naylor

and Jos C. van den Berg

DOI:
10.1093/med/9780199658220.003.0040
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date: 22 September 2019

This chapter will explore carotid endarterectomy, including the pre-operative preparation of the patient (ranging from positioning on the operating table, to the choice of local or general anaesthesia, how to expose the carotid bifurcation, the administration of heparin prior to clamping, shunting, traditional or eversion endarterectomy, patching, sinus nerve blockages, perioperative monitoring, and intra-operational technical problems), and the management of complications (including early post-operative, as well as late complications). Furthermore carotid artery stenting (CAS) will be discussed (including pre-operative considerations, technique of CAS, choice of stent and (usefulness of) protection devices, pharmacotherapy during CAS, monitoring during and after CAS, and finally the management of CAS-related complications).

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