The Effect of Contralateral Carotid Occlusion in Patients Undergoing Carotid Artery Endarterectomy
| Autor: | Luis Duarte-Gamas, António Pereira-Neves, Filipa Jácome, Diogo Domingues-Monteiro, João P. Rocha-Neves |
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| Jazyk: | portugalština |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Angiologia e Cirurgia Vascular, Vol 18, Iss 1 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1646-706X 2183-0096 |
| DOI: | 10.48750/acv.419 |
| Popis: | INTRODUCTION: Contralateral carotid occlusion (CCO) is considered a high-risk condition for patients undergoing carotid artery endarterectomy (CEA). Patients with a CCO may be intolerant to carotid cross-clamping during CEA, thus prone to postoperative adverse neurological outcomes. Patients with CCO may also have a higher burden of atherosclerotic disease, leading to a higher rate of cardiovascular events. METHODS: A Medline search was performed in order to identify publications focused on the impact of CCO on outcomes after CEA. RESULTS: Patients with CCO present a higher incidence of intolerance to carotid cross-clamping. The rates of shunt use are higher in patients with CCO. In the postoperative period, patients with CCO show a higher rate of stroke. Evidence regarding the effect of CCO on long-term outcomes remains controversial, with most studies reporting a lack of association between CCO and adverse long-term outcomes after CEA. CONCLUSION: Patients with CCO have an increased risk of postoperative adverse outcomes. The best strategy for this group of patients should be based on a case-by-case approach. |
| Databáze: | Directory of Open Access Journals |
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