STROKE-ENDARTERECTOMY

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].