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2256 pages added, reviewed or updated during the last month (last updated: 21/4/2021)


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carotid endarterectomy

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Carotid endarterectomy is a treatment for stenosis of the carotid artery, where the stenotic plaque is removed whilst blood flow is shunted to maintain cerebral perfusion.

NICE have stated that (1):

Urgent carotid endarterectomy

  • ensure that people with stable neurological symptoms from acute non-disabling stroke or TIA who have symptomatic carotid stenosis of 50 to 99% according to the NASCET (North American Symptomatic Carotid Endarterectomy Trial) criteria:
    • are assessed and referred urgently for carotid endarterectomy to a service following current national standards
    • receive best medical treatment (control of blood pressure, antiplatelet agents, cholesterol lowering through diet and drugs, lifestyle advice)
  • ensure that people with stable neurological symptoms from acute non-disabling stroke or TIA who have symptomatic carotid stenosis of less than 50% according to the NASCET criteria, or less than 70% according to the European Carotid Surgery Trial (ECST) criteria:
    • do not have surgery
    • receive best medical treatment (control of blood pressure, antiplatelet agents, cholesterol lowering through diet and drugs, lifestyle advice).

Reference:

Last edited 06/2019

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