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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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CAROTID ARTERY  HANDLING OF AORTIC AND PERIPHERAL ARTERIAL PATHOLOGIES


The Journal of Cardiovascular Surgery 2017 April;58(2):139-42

DOI: 10.23736/S0021-9509.16.09743-3

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Safety of carotid revascularization within 48 hours of symptomatic presentation

Kosmas I. PARASKEVAS 1, Ian M. LOFTUS 2

1 Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne, UK; 2 St. George’s Vascular Institute, St. George’s Healthcare NHS Trust, London, UK


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In the last few years, there has been a gradual shift in the recommendations of carotid guidelines towards performance of carotid endarterectomy (CEA) earlier in patients with >70% carotid artery stenosis suffering an ipsilateral transient ischemic attack (TIA)/minor stroke episode. The “6-month” threshold in the early guidelines was subsequently replaced with a “14-day” target. More recently, an even earlier intervention (i.e. “within 48 hours”) gains support as the optimal timing for the performance of CEA in patients with symptomatic carotid artery stenosis. The present article will summarize the evidence that led to this progressive reduction in the optimal timing for CEA in recently symptomatic carotid patients. It will also present the evidence supporting the safety of performing CEA within 48 hours of a TIA/minor stroke.


KEY WORDS: Endarterectomy, carotid - Stroke - Carotid stenosis

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Publication History

Issue published online: February 27, 2017
Article first published online: November 30, 2016
Manuscript accepted: November 25, 2016
Manuscript received: October 13, 2016

Cite this article as

Paraskevas KI, Loftus IM. Safety of carotid revascularization within 48 hours of symptomatic presentation. J Cardiovasc Surg 2017;58:139-42. DOI: 10.23736/S0021-9509.16.09743-3

Corresponding author e-mail

Ian.Loftus@stgeorges.nhs.uk