Skip to main content
SpringerLink
Log in

Carotid Artery Surgery

  • Reference work entry
  • First Online:
Neurovascular Imaging

  • 3111 Accesses

Abstract

Carotid endarterectomy is at present the most frequent intervention on arterial vessels performed in vascular surgery units. Currently the surgical technique is significantly improved compared to 10 years ago with a consequent reduction in terms of mortality and morbidity. This chapter will cover the surgical approaches as well as the most important indications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. DeBakey ME (1975) Successful carotid endarterectomy for cerebrovascular insufficiency. JAMA 233:1083.rG

    Article  Google Scholar 

  2. Lin P, Javid H, Doyle E (1956) Partial internal carotid artery occlusion treated by primary resection and vein graft. J Neurosurg 13:650

    Article  PubMed  Google Scholar 

  3. Lyons C, Galbraith G (1957) Surgical treatment of atherosclerotic occlusion of the internal carotid artery. Ann Surg 146:487

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Cooley D, Al-Naaman Y, Carton C (1956) Surgical treatment of arteriosclerotic occlusion of common carotid artery. J Neurosurg 13:500

    Article  CAS  PubMed  Google Scholar 

  5. Moore O, Karlan M, Sigler L (1969) Factors influencing the safety of carotid ligation. Am J Surg 118:666

    Article  CAS  PubMed  Google Scholar 

  6. Callow A, David M (1980) Hume memorial lecture, an overview of the stroke problem in carotid territory. Am J Surg 140:181

    Article  CAS  PubMed  Google Scholar 

  7. Marrocco-Trischitta MM, Bandiera G, Camilli S, Sillo F, Cirielli C, Guerrini P (2001) Remifentanil conscious sedation during regional anaesthesia for carotid endarterectomy: rationale and safety. Eur J Vasc Endovasc Surg 22:405

    Article  CAS  PubMed  Google Scholar 

  8. Marcucci G, Siani A, Accrocca F, Gabrielli R, Giordano A, Antonelli R et al (2011) Preserved consciousness in general anesthesia during carotid endarterectomy: a six-year experience. Interact Cardiovasc Thorac Surg 13:601

    Article  PubMed  Google Scholar 

  9. Robicsek F, Roush TS, Cook JW, Reames MK (2004) From Hippocrates to Palmaz Schatz, the history of carotid surgery. Eur J Vasc Endovasc Surg 27:389

    Article  CAS  PubMed  Google Scholar 

  10. The North American Symptomatic Carotid Endarterectomy Trial Collaborators (1991) Beneficial effect of carotid endarterectomy in symptomatic patients with high grade stenosis. N Engl J Med 325:445

    Article  Google Scholar 

  11. European Carotid Surgery Trialists’s Collaborative Group (1998) Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final result of the MRC European Carotid Surgery Trial (ECST). Lancet 351:1379

    Article  Google Scholar 

  12. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study (1995) Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273:1421

    Article  Google Scholar 

  13. Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF, CREST Investigators (2010) Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med 363(1):11–23

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Grant EG, Benson CB, Moneta GL et al (2003) Carotid artery stenosis: gray-scale and Doppler US diagnosis – society of radiologists in ultrasound consensus conference. Radiology 229:340

    Article  PubMed  Google Scholar 

  15. Staikov IN, Nedeltchev K, Arnold M, Remonda L, Schroth G, Sturzenegger M, Herrmann C, Rivoir A, Mattle HP (2002) Duplex sonographic criteria for measuring carotid stenoses. J Clin Ultrasound 30:275

    Article  PubMed  Google Scholar 

  16. Saba L, Sanfilippo M, Montisci R, Mallarini G (2010) Correlation between US-PSV and MDCTA in the quantification of carotid artery stenosis. Eur J Radiol 74:99

    Article  PubMed  Google Scholar 

  17. Ouhlous M, Flach HZ, de Weert TT et al (2005) Carotid plaque composition and cerebral infarction: MR imaging study. AJNR Am J Neuroradiol 26:1044

    PubMed  Google Scholar 

  18. Nandalur KR, Baslurt E, Hagspiel K, Douglas Philips C, Kramer CM (2005) Calcified carotid atherosclerotic plaque is associated less with ischemic symptoms than is non calcified plaque on MDTC. Am J Roentgenol 184:295

    Article  Google Scholar 

  19. Saba L, Sanfilippo R, Montisci R, Atzeni M, Ribuffo D, Mallarini G (2011) Vulnerable plaque: detection of agreement between multidetector-row CT angiography and US-ECD. Eur J Radiol 77:509

    Article  PubMed  Google Scholar 

  20. Kitamura A, Iso H, Imano H et al (2004) Carotid intima-media thickness and plaque characteristics as a risk factor for stroke in Japanese elderly men. Stroke 35:2788

    Article  PubMed  Google Scholar 

  21. Prabhakaran S, Rundek T, Ramas R et al (2006) Carotid plaque surface irregularity predicts ischemic stroke: the northern Manhattan study. Stroke 37:2696

    Article  PubMed Central  PubMed  Google Scholar 

  22. Sitzer M, Muller W, Siebler M et al (1995) Plaque ulceration and lumen thrombus are the main sources of cerebral microemboli in high-grade internal carotid artery stenosis. Stroke 26:1231

    Article  CAS  PubMed  Google Scholar 

  23. Saba L, Caddeo G, Sanfilippo R, Montisci R, Mallarini G (2007) CT and US in the study of ulcerated carotid plaque compared with surgical results. Advantages of multi-detector –row CT angiography. AJNR Am J Neuroradiol 28:1061

    Article  CAS  PubMed  Google Scholar 

  24. Montisci R, Sanfilippo R, Bura R, Branca C, Piga M, Saba L (2013) Status of the circle of Willis and intolerance to carotid cross-clamping during carotid endarterectomy. Eur J Vasc Endovasc Surg 45:107

    Article  CAS  PubMed  Google Scholar 

  25. Stejskal L, Kramar F, Ostry S, Benes V, Mohapl M, Limberk B (2007) Experience of 500 cases of neurophysiological monitoring in carotid endarterectomy. Acta Neurochir 149:681

    Article  CAS  PubMed  Google Scholar 

  26. Pennekamp CWA, Immink RV, den Ruijter HM, Kappelle LJ, Bots ML, Buhre WF, Moll FL, de Borst GJ (2013) Near-infrared spectroscopy to indicate selective shunt use during carotid endarterectomy. Eur J Vasc Endovasc Surg 46:397

    Article  CAS  PubMed  Google Scholar 

  27. Sajid MS, Hamilton G, Baker DM (2007) Joint vascular research group. A multicenter review of carotid body tumour management. Eur J Vasc Endovasc Surg 34(2):127–30

    Google Scholar 

  28. Ma D, Liu M, Yang H, Ma X, Zhang C (2010) Diagnosis and surgical treatment of carotid body tumor: a report of 18 cases. J Cardiovasc Dis Res 1:122

    Article  PubMed Central  PubMed  Google Scholar 

  29. Davidovic LB, Djukic VB, Vasic DM, Sindjelic RP, Duvnjak SN (2005) Diagnosis and treatment of carotid body paraganglioma: 21 years of experience at a clinical center of Serbia. World J Surg Oncol 3:10

    Article  PubMed Central  PubMed  Google Scholar 

  30. Schechter DC (1979) Cervical carotid aneurysm. N Y State J Med 79:892

    CAS  PubMed  Google Scholar 

  31. McCann RL (1990) Basic data related to peripheral artery aneurysms. Ann Vasc Surg 4:411

    Article  CAS  PubMed  Google Scholar 

  32. Stoney RJ, Qvarfordt PG (1987) Accessible and inaccessible aneurysm of the extracranial carotid artery. In: Moore WS (ed) Surgery for cerebrovascular disease. Churchill Livingstone, New York

    Google Scholar 

  33. Rosset E, Albertini JN, Magnan PE, Ede B, Thomassin JM, Branchereau A (2000) Surgical treatment of extracranial internal carotid artery aneurysms. J Vasc Surg 31:713

    Article  CAS  PubMed  Google Scholar 

  34. Li Z, Chang G, Yao C, Guo L, Liu Y, Wang M, Liu D, Wang S (2011) Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg 42(4):419–26

    Article  CAS  PubMed  Google Scholar 

  35. Pickering GW, Rob CG (1954) Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet 264:994

    Article  Google Scholar 

  36. Ohara T, Toyoda K, Otsubo R et al (2008) Eccentric stenosis of the carotid artery associated with ipsilateral cerebrovascular events. AJNR Am J Neuroradiol 29:1200

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular Surgery, AOU of Cagliari, Polo di, Monserrato, Cagliari, Italy

    Roberto Montisci

  2. Department of Radiology, AOU of Cagliari, Polo di, 09045, Monserrato, Cagliari, Italy

    Luca Saba

Authors
  1. Roberto Montisci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Luca Saba
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roberto Montisci .

Editor information

Editors and Affiliations

  1. Department of Radiology, AOU of Cagliari, Monserrato, Cagliari, Italy

    Luca Saba

  2. Neurointerventional Radiology Section, Department of Radiology, NYU Langone Medical Center, New York, NY, USA

    Eytan Raz

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media New York

About this entry

Cite this entry

Montisci, R., Saba, L. (2016). Carotid Artery Surgery. In: Saba, L., Raz, E. (eds) Neurovascular Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9029-6_51

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-9029-6_51

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9028-9

  • Online ISBN: 978-1-4614-9029-6

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation