Carotid endarterectomy for stroke prevention

Parakh, Rajiv; Agarwal, Sandeep; Gupta, Ashok and Grover, Tarun (2002) Carotid endarterectomy for stroke prevention. Indian Journal of Surgery, 64 (3). pp. 263-267.

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Abstract

Introduction:Several randomized trials now have established guidelines regarding patient selection for carotid endarterectomy(CEA) that have been widely accepted but have little relevance unless they are considered in the context of perioperative risk. The purpose of this study was to demonstrate the feasibility of early outcome assessment for stroke prevention. Material and Method: Since 1993 demographic information and hospital results for all C.E.A. performed by our department have been entered into a prospective registry for the purpose of this report, we have analysed the stroke and morality rates for 369 consecutive CEAs(358 patients) including 355 that were performed as isolated operations and 14 that were combined with simultaneous coronary artery bypass grafting (CABG). Minor complications like, transient nerve injuries which recovered completely, wound hematoma that did not included in this study. Conclusions:Prospective outcome assessment is essential to reconcile the indications for CEA with its actual results and it may lead incidentally to important observations concerning patient care(J. Vasc Surg 1997;26:1-10) To conclude,CEA is a safe procedure with a beneficial role in stroke prevention but strict selection criteria and precise and safe operative details must be adhered to, to prevent the procedure from going into disrepute. It has a learning cure, which is evident from our experience.

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