The current status of carotid artery surgery

摘要: The natural history of extracranial cerebrovascular disease and available alternatives in its treatment are reviewed. An evaluation the evidence suggests that carotid endarterectomy is choice patients with transient ischemic deficits, provided an anatomically appropriate lesion can be identified. These have a 25-38% chance stroke if untreated, which reduced to 5-10% by endarterectomy. Patients asymptomatic stenosis who good operative risks also candidates for surgery, although this issue remains controversial. small ulcerated plaques relatively benign prognosis should not undergo preventive surgery. Carotid surgery occasionally indicated vertebral basilar insufficiency stenoses, fibromuscular dysplasia, or kinks associated symptoms ischemia. may performed overall mortality 1-2% morbidity 2-5% carefully selected surgical team expert.