Hrvoje Budincevic1, Ante Ivkosic2, Miran Martinac2, Tomislav Trajbar2, Ivan Bielen3, Laszlo Csiba4. 1. Stroke and Intensive Care Unit, Department of neurology, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia. hbudincevic@gmail.com. 2. Department of surgery, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia. 3. Department of neurology, University Hospital "Sveti Duh", Sveti Duh 64, 10000, Zagreb, Croatia. 4. Department of neurology, Medical and Health Science Center, University of Debrecen, Nagyerdei Körút 98, P.O. Box 48, Debrecen, Hungary.
Abstract
PURPOSE: Carotid endarterectomy is a standard treatment for symptomatic high-degree internal carotid artery stenosis. The aim of this article is to present possible intimal lesions after carotid endarterectomy. These lesions could be manifested as intimal flaps, intimal steps or dissections with or without occlusion or stenosis of the artery. METHODS: The evaluation of the frequency and characteristics of the asymptomatic dissecting intimal lesions of the common carotid arteries was performed in a sample of 100 patients who underwent endarterectomy for symptomatic high-grade stenosis of the internal carotid artery. RESULTS: We found five patients with asymptomatic dissecting intimal lesions of the common carotid arteries. CONCLUSION: The most common causes of these intimal lesions were shunting and prolongation of the clamping time. Routine carotid ultrasound follow-up exams are necessary because of the potential need for a change in the antithrombotic therapy or due to a need to perform an endovascular treatment.
PURPOSE: Carotid endarterectomy is a standard treatment for symptomatic high-degree internal carotid artery stenosis. The aim of this article is to present possible intimal lesions after carotid endarterectomy. These lesions could be manifested as intimal flaps, intimal steps or dissections with or without occlusion or stenosis of the artery. METHODS: The evaluation of the frequency and characteristics of the asymptomatic dissecting intimal lesions of the common carotid arteries was performed in a sample of 100 patients who underwent endarterectomy for symptomatic high-grade stenosis of the internal carotid artery. RESULTS: We found five patients with asymptomatic dissecting intimal lesions of the common carotid arteries. CONCLUSION: The most common causes of these intimal lesions were shunting and prolongation of the clamping time. Routine carotid ultrasound follow-up exams are necessary because of the potential need for a change in the antithrombotic therapy or due to a need to perform an endovascular treatment.
Authors: G Oszkinis; F Pukacki; R Juszkat; J B Weigele; M Gabriel; Z Krasinski; M Zieliński; J Krejza Journal: Interv Neuroradiol Date: 2008-02-01 Impact factor: 1.610
Authors: Christopher L Skelly; Shari L Meyerson; Michael A Curi; Tina R Desai; Hisham S Bassiouny; James F McKinsey; Bruce L Gewertz; Lewis B Schwartz Journal: Vasc Endovascular Surg Date: 2002 Mar-Apr Impact factor: 1.089
Authors: Michael Reinert; Marie-Louise Mono; Dominique Kuhlen; Luigi Mariani; Alain Barth; Jürgen Beck; Robert H Andres; Jan Gralla; Rolf Wymann; Jürgen Schmidt; Christin Kauert; Gerhard Schroth; Marcel Arnold; Heinrich P Mattle; Andreas Raabe; Urs Fischer Journal: Acta Neurochir (Wien) Date: 2011-11-24 Impact factor: 2.216