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Carotid Revascularization: Carotid Endarterectomy

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Carotid Artery Stenting: The Basics

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Carotid endarterectomy (CEA) is a procedure that has reliably decreased the risk of cerebrovascular events and death in patients with severe carotid stenosis. In this chapter, important concepts in the preoperative assessment of patients undergoing CEA will be reviewed. An overview of the clinical trials highlighting current indications will be provided, followed by a discussion of the surgical technique, complications, and controversies related to CEA.

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References

  1. World Health Organization (WHO). Surveillance in brief: Update of noncommunicable diseases and mental health surveillance activities. Issue No. 5 Geneva, WHO, 5:1–5, 2003. Available at www.who.int/entity/ncd_surveillance/media.org

  2. American Heart Association. Heart and Stroke Facts Statistics-1999: Statistical Supplement. American Heart Association, Dallas, TX.

    Google Scholar 

  3. Kannel WB. Epidemiology of cerebrovascular disease: an epidemiologic study of cerebrovascular disease. In American Neurological Association and American Heart Association: Cerebral Vascular Diseases. Grune & Stratton, New York, 1966, pp. 53–66.

    Google Scholar 

  4. Kuller LH, Cook LP, Friedman GD. Survey of stroke epidemiology studies: Committee on Criteria and Methods, Council of Epidemiology, American Heart Association. Stroke 1972;3:579–85.

    Article  PubMed  CAS  Google Scholar 

  5. Schneider PA, Kasirajan K. Difficult anatomy: what characteristics are critical to good outcomes of either CEA or CAS? Semin Vasc Surg 2007;20:216–25.

    Article  PubMed  Google Scholar 

  6. Landis GS, Faries PL. A critical look at “high-risk” in choosing the proper intervention for patients with carotid bifurcation disease. Semin Vasc Surg 2007;20:199–204.

    Article  PubMed  Google Scholar 

  7. Caplan LR, Skillman J, Ojemann R, Fields WS. Intracerebral hemorrhage following carotid endarterectomy: a hypertensive complication? Stroke 1978;9:457–460.

    Article  PubMed  CAS  Google Scholar 

  8. Giordano JM, Trout HH, 3rd, Kozloff L, DePalma RG. Timing of carotid artery endarterectomy after stroke. J Vasc Surg 1985;2:250–255.

    PubMed  CAS  Google Scholar 

  9. Dosick SM, Whalen RC, Gale SS, Brown OW. Carotid endarterectomy in the stroke patient: computerized axial tomography to determine timing. J Vasc Surg 1985;2:214–219.

    PubMed  CAS  Google Scholar 

  10. Khanna HL, Garg AG. 774 carotid endarterectomies for strokes and transient ischemic attacks: comparison of results of early vs. late surgery. Acta Neurochir Suppl (Wien) 1988;42:103–106.

    Article  CAS  Google Scholar 

  11. Gasecki AP, Ferguson GG, Eliasziw M, Clagett GP, Fox AJ, Hachinski V, Barnett HJ. Early endarterectomy for severe carotid artery stenosis after a nondisabling stroke: results from the North American Symptomatic Carotid Endarterectomy Trial. J Vasc Surg 1994;20:288–295.

    Article  PubMed  CAS  Google Scholar 

  12. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 1991;325:445–453.

    Article  Google Scholar 

  13. Nehler MR, Moneta GL, McConnell DB, Edwards JM, Taylor LM, Jr., Yeager RA, Porter JM. Anticoagulation followed by elective carotid surgery in patients with repetitive transient ischemic attacks and high-grade carotid stenosis. Arch Surg 1993;128:1117–1121; discussion 1121–1123.

    Article  PubMed  CAS  Google Scholar 

  14. Inzitari D, Eliasziw M, Gates P, Sharpe BL, Chan RK, Meldrum HE, Barnett HJ. The causes and risk of stroke in patients with asymptomatic internal-carotid-artery stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 2000;342:1693–1700.

    Article  PubMed  CAS  Google Scholar 

  15. Eckstein HH, Schumacher H, Dorfler A, Forsting M, Jansen O, Ringleb P, Allenberg JR. Carotid endarterectomy and intracranial thrombolysis: simultaneous and staged procedures in ischemic stroke. J Vasc Surg 1999;29:459–471.

    Article  PubMed  CAS  Google Scholar 

  16. Bauer RB, Meyer JS, Fields WS, Remington R, Macdonald MC, Callen P. Joint study of extracranial arterial occlusion. 3. Progress report of controlled study of long-term survival in patients with and without operation. JAMA 1969;208:509–518.

    Google Scholar 

  17. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, Rankin RN, Clagett GP, Hachinski VC, Sackett DL, Thorpe KE, Meldrum HE, Spence JD. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 1998;339:1415–1425.

    CAS  Google Scholar 

  18. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. European Carotid Surgery Trialists' Collaborative Group. Lancet 1991;337:1235–1243.

    Article  Google Scholar 

  19. Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA 1995;273:1421–1428.

    Article  Google Scholar 

  20. Mayberg MR, Wilson SE, Yatsu F, Weiss DG, Messina L, Hershey LA, Colling C, Eskridge J, Deykin D, Winn HR. Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. Veterans Affairs Cooperative Studies Program 309 Trialist Group. JAMA 1991;266:3289–3294.

    Article  PubMed  CAS  Google Scholar 

  21. Carotid surgery versus medical therapy in asymptomatic carotid stenosis. The CASANOVA Study Group. Stroke 1991;22:1229–1235.

    Article  Google Scholar 

  22. Results of a randomized controlled trial of carotid endarterectomy for asymptomatic carotid stenosis. Mayo Asymptomatic Carotid Endarterectomy Study Group. Mayo Clin Proc 1992;67:513–518.

    Article  Google Scholar 

  23. Hobson RW, 2nd, Weiss DG, Fields WS, Goldstone J, Moore WS, Towne JB, Wright CB. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. The Veterans Affairs Cooperative Study Group. N Engl J Med 1993;328:221–227.

    Article  PubMed  Google Scholar 

  24. Mohammed N, Anand SS. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomized controlled trial. MRC asymptomatic carotid surgery trial (ACST) collaborative group. Lancet 2004; 363: 1491–1502. Vasc Med 2005;10:77–78.

    Article  Google Scholar 

  25. Betterman K, Toole JF. Diagnostic Evaluation of and Medical Management of Patients with Ischemic Cerebrovascular Disease. Rutherford Textbook of Vascular Surgery. 6th ed. W.B. Saunders, Philadelphia, PA; 2005, p.1906.

    Google Scholar 

  26. Moore WS, Boren C, Malone JM, Roon AJ, Eisenberg R, Goldstone J, Mani R. Natural history of nonstenotic, asymptomatic ulcerative lesions of the carotid artery. Arch Surg 1978;113:1352–1359.

    Article  PubMed  CAS  Google Scholar 

  27. Dixon S, Pais SO, Raviola C, Gomes A, Machleder HI, Baker JD, Busuttil RW, Barker WF, Moore WS. Natural history of nonstenotic, asymptomatic ulcerative lesions of the carotid artery. A further analysis. Arch Surg 1982;117:1493–1498.

    Article  PubMed  CAS  Google Scholar 

  28. Moore, WS. Extracranial Cerebrovascular Disease: The Carotid Artery. Vascular and Endovascular Surgery. A Comprehensive Review. 7th ed. W.B. Saunders, Philadelphia, PA; 2006, p.634.

    Google Scholar 

  29. Ricotta JJ, DeWeese JA. Is routine carotid ultrasound surveillance after carotid endarterectomy worthwhile? Am J Surg 1996;172:140–142; discussion 143.

    Article  PubMed  CAS  Google Scholar 

  30. Counsell C, Salinas R, Naylor R, Warlow C. Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting). Cochrane Database Syst Rev 2000:CD000190.

    Google Scholar 

  31. Naylor AR, Hayes PD, Allroggen H, Lennard N, Gaunt ME, Thompson MM, London NJ, Bell PR. Reducing the risk of carotid surgery: a 7-year audit of the role of monitoring and quality control assessment. J Vasc Surg 2000;32:750–759.

    Article  PubMed  CAS  Google Scholar 

  32. Moore WS, Hall AD. Carotid artery back pressure: a test of cerebral tolerance to temporary carotid occlusion. Arch Surg 1969;99:702–710.

    Article  PubMed  CAS  Google Scholar 

  33. Stoneham MD, Doyle AR, Knighton JD, Dorje P, Stanley JC. Prospective, randomized comparison of deep or superficial cervical plexus block for carotid endarterectomy surgery. Anesthesiology 1998;89:907–912.

    Article  PubMed  CAS  Google Scholar 

  34. Pandit JJ, Bree S, Dillon P, Elcock D, McLaren ID, Crider B. A comparison of superficial versus combined (superficial and deep) cervical plexus block for carotid endarterectomy: a prospective, randomized study. Anesth Analg 2000;91:781–786.

    Article  PubMed  CAS  Google Scholar 

  35. Fiorani P, Sbarigia E, Speziale F, Antonini M, Fiorani B, Rizzo L, Massucci M. General anaesthesia versus cervical block and perioperative complications in carotid artery surgery. Eur J Vasc Endovasc Surg 1997;13:37–42.

    Article  PubMed  CAS  Google Scholar 

  36. Tangkanakul C, Counsell C, Warlow C. Local versus general anaesthesia for carotid endarterectomy. Cochrane Database Syst Rev 2000:CD000126.

    Google Scholar 

  37. Allen BT, Anderson CB, Rubin BG, Thompson RW, Flye MW, Young-Beyer P, Frisella P, Sicard GA. The influence of anesthetic technique on perioperative complications after carotid endarterectomy. J Vasc Surg 1994;19:834–842; discussion 842–843.

    Article  PubMed  CAS  Google Scholar 

  38. Christensen MS, Hoedt-Rasmussen K, Lassen NA. Cerebral vasodilatation by halothane anaesthesia in man and its potentiation by hypotension and hypercapnia. Br J Anaesth 1967;39:927–934.

    Article  PubMed  CAS  Google Scholar 

  39. De Vleeschauwer P, Wirthle W, Holler L, Krause E, Horsch S. Is venous patch grafting after carotid endarterectomy able to reduce the rate of restenosis? Prospective randomized pilot study with stratification. Acta Chir Belg 1987;87:242–246.

    PubMed  Google Scholar 

  40. Al-Rawi PG, Turner CL, Waran V, Ng I, Kirkpatrick PJ. A randomized trial of synthetic patch versus direct primary closure in carotid endarterectomy. Neurosurgery 2006;59:822–828; discussion 828–829.

    Article  PubMed  Google Scholar 

  41. Eikelboom BC, Ackerstaff RG, Hoeneveld H, Ludwig JW, Teeuwen C, Vermeulen FE, Welten RJ. Benefits of carotid patching: a randomized study. J Vasc Surg 1988;7:240–247.

    PubMed  CAS  Google Scholar 

  42. Lord RS, Raj TB, Stary DL, Nash PA, Graham AR, Goh KH. Comparison of saphenous vein patch, polytetrafluoroethylene patch, and direct arteriotomy closure after carotid endarterectomy. Part I. Perioperative results. J Vasc Surg 1989;9:521–529.

    PubMed  CAS  Google Scholar 

  43. Ranaboldo CJ, Barros D'Sa AA, Bell PR, Chant AD, Perry PM. Randomized controlled trial of patch angioplasty for carotid endarterectomy. The Joint Vascular Research Group. Br J Surg 1993;80:1528–1530.

    Article  PubMed  CAS  Google Scholar 

  44. Myers SI, Valentine RJ, Chervu A, Bowers BL, Clagett GP. Saphenous vein patch versus primary closure for carotid endarterectomy: long-term assessment of a randomized prospective study. J Vasc Surg 1994;19:15–22.

    Article  PubMed  CAS  Google Scholar 

  45. Katz D, Snyder SO, Gandhi RH, Wheeler JR, Gregory RT, Gayle RG, Parent FN, 3rd. Long-term follow-up for recurrent stenosis: a prospective randomized study of expanded polytetrafluoroethylene patch angioplasty versus primary closure after carotid endarterectomy. J Vasc Surg 1994;19:198–203; discussion 204–205.

    Article  PubMed  CAS  Google Scholar 

  46. AbuRahma AF, Khan JH, Robinson PA, Saiedy S, Short YS, Boland JP, White JF, Conley Y. Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: perioperative (30-day) results. J Vasc Surg 1996;24:998–1006; discussion 1006–1007.

    Article  PubMed  CAS  Google Scholar 

  47. Counsell C, Salinas R, Warlow C, Naylor R. Patch angioplasty versus primary closure for carotid endarterectomy. Cochrane Database Syst Rev 2000:CD000160.

    Google Scholar 

  48. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 2004;40:1126–1135.

    Article  PubMed  CAS  Google Scholar 

  49. Counsell CE, Salinas R, Naylor R, Warlow CP. A systematic review of the randomised trials of carotid patch angioplasty in carotid endarterectomy. Eur J Vasc Endovasc Surg 1997;13:345–354.

    Article  PubMed  CAS  Google Scholar 

  50. Pappas D, Hines GL, Yoonah Kim E. Selective patching in carotid endarterectomy: is patching always necessary? J Cardiovasc Surg (Torino) 1999;40:555–559.

    CAS  Google Scholar 

  51. Golledge J, Cuming R, Davies AH, Greenhalgh RM. Outcome of selective patching following carotid endarterectomy. Eur J Vasc Endovasc Surg 1996;11:458–463.

    Article  PubMed  CAS  Google Scholar 

  52. Cikrit DF, Larson DM, Sawchuk AP, Thornhill C, Shafique S, Nachreiner RD, Lalka SG, Dalsing MC. Discretionary carotid patch angioplasty leads to good results. Am J Surg 2006;192:e46–e50.

    Article  PubMed  Google Scholar 

  53. Byrne J, Feustel P, Darling RC, 3rd. Primary closure, routine patching, and eversion endarterectomy: what is the current state of the literature supporting use of these techniques? Semin Vasc Surg 2007;20:226–235.

    Article  PubMed  Google Scholar 

  54. Bond R, Rerkasem K, Naylor R, Rothwell PM. Patches of different types for carotid patch angioplasty. Cochrane Database Syst Rev 2004:CD000071.

    Google Scholar 

  55. Riles TS, Lamparello PJ, Giangola G, Imparato AM. Rupture of the vein patch: a rare complication of carotid endarterectomy. Surgery 1990;107:10–12.

    PubMed  CAS  Google Scholar 

  56. Tawes RL, Jr., Treiman RL. Vein patch rupture after carotid endarterectomy: a survey of the Western Vascular Society members. Ann Vasc Surg 1991;5:71–73.

    Article  PubMed  Google Scholar 

  57. O'Hara PJ, Hertzer NR, Krajewski LP, Beven EG. Saphenous vein patch rupture after carotid endarterectomy. J Vasc Surg 1992;15:504–509.

    Article  PubMed  Google Scholar 

  58. Yamamoto Y, Piepgras DG, Marsh WR, Meyer FB. Complications resulting from saphenous vein patch graft after carotid endarterectomy. Neurosurgery 1996;39:670–675; discussion 675–676.

    Article  PubMed  CAS  Google Scholar 

  59. Cao P, Giordano G, De Rango P, Zannetti S, Chiesa R, Coppi G, Palombo D, Spartera C, Stancanelli V, Vecchiati E. A randomized study on eversion versus standard carotid endarterectomy: study design and preliminary results: the Everest Trial. J Vasc Surg 1998;27:595–605.

    Article  PubMed  CAS  Google Scholar 

  60. Cao P, Giordano G, De Rango P, Zannetti S, Chiesa R, Coppi G, Palombo D, Peinetti F, Spartera C, Stancanelli V, Vecchiati E. Eversion versus conventional carotid endarterectomy: late results of a prospective multicenter randomized trial. J Vasc Surg 2000;31:19–30.

    Article  PubMed  CAS  Google Scholar 

  61. Cao P, Giordano G, De Rango P, Caporali S, Lenti M, Ricci S, Moggi L. Eversion versus conventional carotid endarterectomy: a prospective study. Eur J Vasc Endovasc Surg 1997;14:96–104.

    Article  PubMed  CAS  Google Scholar 

  62. Cao P, De Rango P, Zannetti S. Eversion vs conventional carotid endarterectomy: a systematic review. Eur J Vasc Endovasc Surg 2002;23:195–201.

    Article  PubMed  CAS  Google Scholar 

  63. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet 1998;351:1379–1387.

    Google Scholar 

  64. Ferguson GG, Eliasziw M, Barr HW, Clagett GP, Barnes RW, Wallace MC, Taylor DW, Haynes RB, Finan JW, Hachinski VC, Barnett HJ. The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1415 patients. Stroke 1999;30:1751–1758.

    Article  PubMed  CAS  Google Scholar 

  65. Towne JB, Weiss DG, Hobson RW, 2nd. First phase report of cooperative Veterans Administration asymptomatic carotid stenosis study – operative morbidity and mortality. J Vasc Surg 1990;11:252–258; discussion 258–259.

    PubMed  CAS  Google Scholar 

  66. Bratzler DW, Oehlert WH, Murray CK, Bumpus LJ, Moore LL, Piatt DS. Carotid endarterectomy in Oklahoma Medicare beneficiaries: patient characteristics and outcomes. J Okla State Med Assoc 1996;89:423–429.

    PubMed  CAS  Google Scholar 

  67. Karp HR, Flanders WD, Shipp CC, Taylor B, Martin D. Carotid endarterectomy among Medicare beneficiaries: a statewide evaluation of appropriateness and outcome. Stroke 1998;29:46–52.

    Article  PubMed  CAS  Google Scholar 

  68. Cebul RD, Snow RJ, Pine R, Hertzer NR, Norris DG. Indications, outcomes, and provider volumes for carotid endarterectomy. JAMA 1998;279:1282–1287.

    Article  PubMed  CAS  Google Scholar 

  69. Kucey DS, Bowyer B, Iron K, Austin P, Anderson G, Tu JV. Determinants of outcome after carotid endarterectomy. J Vasc Surg 1998;28:1051–1058.

    Article  PubMed  CAS  Google Scholar 

  70. Kresowik TF, Bratzler DW, Kresowik RA, Hendel ME, Grund SL, Brown KR, Nilasena DS. Multistate improvement in process and outcomes of carotid endarterectomy. J Vasc Surg 2004;39:372–380.

    Article  PubMed  Google Scholar 

  71. Kresowik TF, Hemann RA, Grund SL, Hendel ME, Brenton M, Wiblin RT, Adams HP, Ellerbeck EF. Improving the outcomes of carotid endarterectomy: results of a statewide quality improvement project. J Vasc Surg 2000;31:918–926.

    Article  PubMed  CAS  Google Scholar 

  72. Kresowik TF, Bratzler D, Karp HR, Hemann RA, Hendel ME, Grund SL, Brenton M, Ellerbeck EF, Nilasena DS. Multistate utilization, processes, and outcomes of carotid endarterectomy. J Vasc Surg 2001;33:227–234; discussion 234–235.

    Article  PubMed  CAS  Google Scholar 

  73. Bond R, Rerkasem K, Rothwell PM. Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery. Stroke 2003;34:2290–2301.

    Article  PubMed  CAS  Google Scholar 

  74. Ascher E, Markevich N, Schutzer RW, Kallakuri S, Jacob T, Hingorani AP. Cerebral hyperperfusion syndrome after carotid endarterectomy: predictive factors and hemodynamic changes. J Vasc Surg 2003;37:769–777.

    Article  PubMed  Google Scholar 

  75. Coutts SB, Hill MD, Hu WY. Hyperperfusion syndrome: toward a stricter definition. Neurosurgery 2003;53:1053–1058; discussion 1058–1060.

    Article  PubMed  Google Scholar 

  76. Ogasawara K, Yukawa H, Kobayashi M, Mikami C, Konno H, Terasaki K, Inoue T, Ogawa A. Prediction and monitoring of cerebral hyperperfusion after carotid endarterectomy by using single-photon emission computerized tomography scanning. J Neurosurg 2003;99:504–510.

    Article  PubMed  Google Scholar 

  77. Solomon RA, Loftus CM, Quest DO, Correll JW. Incidence and etiology of intracerebral hemorrhage following carotid endarterectomy. J Neurosurg 1986;64:29–34.

    Article  PubMed  CAS  Google Scholar 

  78. Schroeder T, Sillesen H, Boesen J, Laursen H, Sorensen P. Intracerebral haemorrhage after carotid endarterectomy. Eur J Vasc Surg 1987;1:51–60.

    Article  PubMed  CAS  Google Scholar 

  79. Piepgras DG, Morgan MK, Sundt TM, Jr., Yanagihara T, Mussman LM. Intracerebral hemorrhage after carotid endarterectomy. J Neurosurg 1988;68:532–536.

    Article  PubMed  CAS  Google Scholar 

  80. Paciaroni M, Eliasziw M, Kappelle LJ, Finan JW, Ferguson GG, Barnett HJ. Medical complications associated with carotid endarterectomy. North American Symptomatic Carotid Endarterectomy Trial (NASCET). Stroke 1999;30:1759–1763.

    Article  PubMed  CAS  Google Scholar 

  81. Kunkel JM, Gomez ER, Spebar MJ, Delgado RJ, Jarstfer BS, Collins GJ. Wound hematomas after carotid endarterectomy. Am J Surg 1984;148:844–847.

    Article  PubMed  CAS  Google Scholar 

  82. Welling RE, Ramadas HS, Gansmuller KJ. Cervical wound hematoma after carotid endarterectomy. Ann Vasc Surg 1989;3:229–231.

    Article  PubMed  CAS  Google Scholar 

  83. Frericks H, Kievit J, van Baalen JM, van Bockel JH. Carotid recurrent stenosis and risk of ipsilateral stroke: a systematic review of the literature. Stroke 1998;29:244–250.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Vascular Surgery, University of British Columbia, St. Paul’s Hospital, Vancouver, BC, Canada

    Marlene Grenon MD, FRCSC & Ravi S. Sidhu MD, MEd, FRCSC, FACS

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  1. Marlene Grenon MD, FRCSC
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  2. Ravi S. Sidhu MD, MEd, FRCSC, FACS
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Editors and Affiliations

  1. Vancouver General Hospital, University of British Columbia, Laurel St. 2755, Vancouver, V5Z 1M9, Canada

    Jacqueline Saw

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Grenon, M., Sidhu, R.S. (2009). Carotid Revascularization: Carotid Endarterectomy. In: Saw, J. (eds) Carotid Artery Stenting: The Basics. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-314-5_2

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