Difference between revisions of "STROKE-ENDARTERECTOMY"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. Despite 3% perioperative stroke/death rate, CEA for asymptomatic carotid stenosis reduces the risk of ipsilateral stroke by 30% over 3 years. | 1. Despite 3% perioperative stroke/death rate, CEA for asymptomatic carotid stenosis reduces the risk of ipsilateral stroke by 30% over 3 years. | ||
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<br/>2. Refer for carotid endarterectomy if the patient has > 70% occlusion and an expected lifespan of > 5 years and the anticipated operative morbidity and mortality is < 3%-6%. | <br/>2. Refer for carotid endarterectomy if the patient has > 70% occlusion and an expected lifespan of > 5 years and the anticipated operative morbidity and mortality is < 3%-6%. | ||
Latest revision as of 11:07, 20 March 2023
SUMMARY
1. Despite 3% perioperative stroke/death rate, CEA for asymptomatic carotid stenosis reduces the risk of ipsilateral stroke by 30% over 3 years.
2. Refer for carotid endarterectomy if the patient has > 70% occlusion and an expected lifespan of > 5 years and the anticipated operative morbidity and mortality is < 3%-6%.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].