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Italian Journal of Vascular and Endovascular Surgery 2015 September;22(3):147-51

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Is carotid endarterectomy for severe asymptomatic stenosis prior to or simultaneous with unrelated non-cardiac surgery beneficial?

Drac P. ¹, Jedlicka P. ¹, Sanak D. ², Drac P. ³, Utikal P. ¹, Köcher M. ⁴, Cerna M. ⁴, Bachleda P. ¹

¹ Second Department of Surgery, University Hospital Olomouc, Olomouc, Czech Republic; ² Comprehensive Stroke Center, Department of Neurology, University Hospital Olomouc, Olomouc, Czech Republic; ³ Department of Trauma Surgery, University Hospital Olomouc, Olomouc, Czech Republic; ⁴ Department of Radiology, University Hospital Olomouc, Olomouc, Czech Republic

To date, no indication consent for carotid endarterectomy exists in patients with asymptomatic severe carotid stenosis undergoing unrelated noncardiac surgery. Aim of the paper was to critically review the experience published in available world literature. The review of the literature included relevant publications obtained within the last 15 years from these databases (and publications obtained from lists of their references) were obtained from these databases: Medline/PubMed, Embase, Scopus, Web of Science, Cochrane Library, DynaMed, UptoDate and from the internet browser Google Scholar. Trials and case reports concerning the topic were published in relatively small number, they have limitations and their results are opposing. A sufficiently powerful prospective randomised trial is needed to determine an optimal treatment strategy in patients with asymptomatic severe carotid stenosis undergoing unrelated noncardiac surgery.