Carotid endarterectomy: Difference between revisions
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==Effectiveness== | ==Effectiveness== | ||
CEA can benefit patients with<ref name="pmid10796411">{{cite journal |author=Cina CS, Clase CM, Haynes RB |title=Carotid endarterectomy for symptomatic carotid stenosis |journal=Cochrane Database Syst Rev |volume= |issue=2 |pages=CD001081 |year=2000 |pmid=10796411 |doi=10.1002/14651858.CD001081 |url=http://dx.doi.org/10.1002/14651858.CD001081 |issn=}}</ref> and without<ref name="pmid16235289">{{cite journal |author=Chambers BR, Donnan GA |title=Carotid endarterectomy for asymptomatic carotid stenosis |journal=Cochrane Database Syst Rev |volume= |issue=4 |pages=CD001923 |year=2005 |pmid=16235289 |doi=10.1002/14651858.CD001923.pub2 |url=http://dx.doi.org/10.1002/14651858.CD001923.pub2 |issn=}}</ref> symptoms according to systematic | CEA can benefit patients with<ref name="pmid10796411">{{cite journal |author=Cina CS, Clase CM, Haynes RB |title=Carotid endarterectomy for symptomatic carotid stenosis |journal=Cochrane Database Syst Rev |volume= |issue=2 |pages=CD001081 |year=2000 |pmid=10796411 |doi=10.1002/14651858.CD001081 |url=http://dx.doi.org/10.1002/14651858.CD001081 |issn=}}</ref> and without<ref name="pmid16235289">{{cite journal |author=Chambers BR, Donnan GA |title=Carotid endarterectomy for asymptomatic carotid stenosis |journal=Cochrane Database Syst Rev |volume= |issue=4 |pages=CD001923 |year=2005 |pmid=16235289 |doi=10.1002/14651858.CD001923.pub2 |url=http://dx.doi.org/10.1002/14651858.CD001923.pub2 |issn=}}</ref> symptoms according to [[systematic review]]s by the [[Cochrane Collaboration]]. | ||
==Preoperative assessment== | ==Preoperative assessment== | ||
The [[preoperative care]] includes assessment for [[coronary heart disease]]. | The [[preoperative care]] includes assessment for [[coronary heart disease]]. In one study, 40% of patients had coronary heart disease, with 18% of the patients (or 48% of those with coronary heart disease) had severe disease (obstruction of the left main or three of the [[coronary artery|arteries]]).<ref name="pmid16266039">{{cite journal |author=Shimada T, Toyoda K, Inoue T, ''et al'' |title=Prediction of coronary artery disease in patients undergoing carotid endarterectomy |journal=J. Neurosurg. |volume=103 |issue=4 |pages=593–6 |year=2005 |month=October |pmid=16266039 |doi= |url= |issn=}}</ref> The strongest predictor of coronary heart disease was the presence of [[diabetes mellitis]]. | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 13:44, 6 January 2009
In medicine, carotid endarterectomy, or CEA, is "excision of the thickened, atheromatous tunica intima of a carotid artery."[1]
Effectiveness
CEA can benefit patients with[2] and without[3] symptoms according to systematic reviews by the Cochrane Collaboration.
Preoperative assessment
The preoperative care includes assessment for coronary heart disease. In one study, 40% of patients had coronary heart disease, with 18% of the patients (or 48% of those with coronary heart disease) had severe disease (obstruction of the left main or three of the arteries).[4] The strongest predictor of coronary heart disease was the presence of diabetes mellitis.
References
- ↑ Anonymous (2024), Carotid endarterectomy (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Cina CS, Clase CM, Haynes RB (2000). "Carotid endarterectomy for symptomatic carotid stenosis". Cochrane Database Syst Rev (2): CD001081. DOI:10.1002/14651858.CD001081. PMID 10796411. Research Blogging.
- ↑ Chambers BR, Donnan GA (2005). "Carotid endarterectomy for asymptomatic carotid stenosis". Cochrane Database Syst Rev (4): CD001923. DOI:10.1002/14651858.CD001923.pub2. PMID 16235289. Research Blogging.
- ↑ Shimada T, Toyoda K, Inoue T, et al (October 2005). "Prediction of coronary artery disease in patients undergoing carotid endarterectomy". J. Neurosurg. 103 (4): 593–6. PMID 16266039. [e]