Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2015 December;56(6) > The Journal of Cardiovascular Surgery 2015 December;56(6):853-7

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

  CAROTID UPDATE


The Journal of Cardiovascular Surgery 2015 December;56(6):853-7

language: English

How safe are carotid endarterectomy and carotid artery stenting in the early period after carotid-related cerebral ischemia?

Rantner B.

Department of Vascular Surgery, Medical University Innsbruck, Innsbruck, Austria


PDF  


Timing of treatment in carotid artery disease is still a matter of debate. So far there is controversial literature available concerning the safety of rapid treatment after a qualifying neurological event. Carotid endarterectomy turned out to be more effective in stroke prevention when carried out closer after the onset of symptoms. The initial “two weeks” cut off for surgery meanwhile turned into a “as soon as possible” treatment policy. In case of a cerebral infarction it seems reasonable, however, to delay surgery. Less evidence exists about the ideal timing of carotid artery stenting. Data analysis from the Carotid Stenosis Trialists’ Collaboration showed that the early days after plaque rupture carry a high risk for periprocedural complications after carotid artery stenting. The analysis of a large register series showed, that carotid artery stenting carried a significantly higher risk for complications in patients with and without cerebral infarction when performed within 48 hours after the onset of symptoms.

top of page

Publication History

Cite this article as

Corresponding author e-mail

barbara.rantner@i-med.ac.at