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Stroke: Differences in outcomes of different shunt modes in the treatment of symptomatic carotid stenosis with carotid endarterectomy

 Last Update: 2022-04-23
 Source: Internet
 Author: User

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Endarterectomy (CEA) is a surgical procedure that attempts to reduce the risk of stroke by correcting stenosis of the common or internal carotid arteries to improve blood supply to the brain
.

Endarterectomy refers to the removal of sclerotic plaque-like lesions attached (located) to the intima of the arteries, and these sclerotic substances are often the cause of stenosis and obstruction of the arterial lumen

Endarterectomy (CEA) is a surgical procedure that attempts to reduce the risk of stroke by correcting stenosis of the common or internal carotid arteries to improve blood supply to the brain

Blood vessel

We conducted a retrospective observational study based on a multicenter national prospective database
.

The Vascular Quality Initiative database (2010-2019) was queried for CEA performed within 14 days of ipsilateral stroke or transient ischemic attack

13,469 CEAs were performed after transient ischemic attack (43%) or stroke (57%), 3186 (24%) by conventional shunt, and 10,283 (76%) by elective shunt
.

Comparing conventional and elective triage, rates of in-hospital stroke (1.

Routine shunting of CEA performed <2 days after ischemic stroke was associated with a lower stroke rate (1.

In addition, conscious anesthesia was used in 7.
8% of elective shunts and 0.
8% of routine shunts, but had no effect on perioperative stroke rates (1.
8% vs 2.
3%; P=0.
349 )
.

In this large national cohort, the overall results of CEA for conventional and elective triage were similar
.

CEA performed <2 days after ischemic stroke with conventional shunting was associated with a lower rate of postoperative stroke

In this large national cohort, the overall results of CEA for conventional and elective triage were similar

Impact of Shunting Practice Patterns During Carotid Endarterectomy for Symptomatic Carotid Stenosis.

Impact of Shunting Practice Patterns During Carotid Endarterectomy for Symptomatic Carotid Stenosis.
https://doi.
org/10.
1161/STROKEAHA.
121.
037657 Leave a Comment here

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