Abstract
Extracranial carotid artery stenosis is accountable for 10–20% of all ischemic strokes. Carotid endarterectomy (CEA) prevents major stroke in patients presenting with focal TIAs (transient ischemic attacks) and minor stroke. Carotid endarterectomy can be performed under cervical block anesthesia (awake patient) or under general anesthesia. Most patients can undergo CEA safely without the use of indwelling shunt. In awake patients undergoing CEA under cervical block anesthesia, the need for indwelling shunt is approximately 10% and under GA with EEG monitoring is 12–18%. Post carotid endarterectomy stroke occurs in 2–5% of patients undergoing CEA and is most often the result of plaque embolization. Post CEA site thrombosis and intracerebral hemorrhage following CEA are other causes of postoperative stroke. Perioperative myocardial infarction, cranial nerve palsy, and hematoma in the neck are other complications of CEA.
The original version of the chapter was revised. A correction to this chapter can be found at https://doi.org/10.1007/978-3-319-91533-3_25
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Change history
02 October 2018
Late corrections to chapters 3 and 10 have been corrected as listed below:
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Chapter 3: Page 22, the last sentence in paragraph “Occlusive lesions of the.....” has been updated as below:
“For example, the costocervical and thyrocervical branches of the Subclavian Artery can develop collateral circulation between the external carotid and subclavian arteries.”
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Hans, S.S. (2018). Carotid Endarterectomy. In: Hans, S. (eds) Extracranial Carotid and Vertebral Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-91533-3_10
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DOI: https://doi.org/10.1007/978-3-319-91533-3_10
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