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Cerebrovascular Disease

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Surgery

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Abstract

Approximately 500,000 people in the United States develop new strokes each year; stroke is a leading cause of neurological disability and the third most common cause of death, preceded only by coronary artery disease and cancer. Moreover, survivors of stroke account for $29 billion annually in health care costs and lost productivity. Despite this enormous clinical problem, during the past 50 years there has been tremendous progress in reducing mortality from stroke. This success in part is related to the evolution of the surgical treatment of extracranial cerebrovascular disease. Carotid endarterectomy (CEA) is the primary treatment used, and the frequency at which this procedure is performed has steadily increased since the early 1990s. Currently, CEA is the most commonly performed peripheral vascular operation in the United States. In this chapter, the anatomy, pathophysiology, diagnosis, and treatment of cerebrovascular disease are reviewed.

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Authors
  1. Sheela T. Patel
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  2. K. Craig Kent
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Editor information

Editors and Affiliations

  1. University of California, San Francisco, USA

    Jeffrey A. Norton MD (Professor and Vice-Chairman of Surgery, Chief) (Professor and Vice-Chairman of Surgery, Chief)

  2. Surgical Service, San Francisco VA Medical Center, San Francisco, California, USA

    Jeffrey A. Norton MD (Professor and Vice-Chairman of Surgery, Chief) (Professor and Vice-Chairman of Surgery, Chief)

  3. Division of General Surgery, Duke University Medical Center, Durham, North Carolina, USA

    R. Randal Bollinger MD, PhD (Professor of Surgery, Professor of Immunology, Chief) (Professor of Surgery, Professor of Immunology, Chief)

  4. Division of Surgical Oncology, University of Michigan, Comprehensive Cancer Center, Ann Arbor, Michigan, USA

    Alfred E. Chang MD (Chief, Hugh Cabot Professor of Surgery) (Chief, Hugh Cabot Professor of Surgery)

  5. Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    Stephen F. Lowry MD (Professor and Chairman) (Professor and Chairman)

  6. Division of General Surgery, University of California, San Francisco, San Francisco, California, USA

    Sean J. Mulvihill MD (Professor of Surgery, Chief) (Professor of Surgery, Chief)

  7. Karmanos Cancer Institute, Wayne State University, Harper Hospital, Detroit, Michigan, USA

    Harvey I. Pass MD (Professor of Surgery and Oncology, Chief of Thoracic Oncology) (Professor of Surgery and Oncology, Chief of Thoracic Oncology)

  8. Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri, USA

    Robert W. Thompson MD (Associate Professor of Surgery) (Associate Professor of Surgery)

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Patel, S.T., Kent, K.C. (2001). Cerebrovascular Disease. In: Norton, J.A., et al. Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57282-1_45

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  • DOI: https://doi.org/10.1007/978-3-642-57282-1_45

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