Research ArticleOriginal Article
Open Access

Outcomes of carotid endarterectomy

Insights from a single-center retrospective cohort study

Sultan AlSheikh, Badr Aljabri, Tariq Alanezi, Mussaad Al-Salman, Mohammed Y. Aldossary, Abdulatif H. Almashat, Hend S. Elmutawi, Rakan A. Aldoghmani, Talal Altuwaijri, Kaisor Iqbal and Abdulmajeed Altoijry
Saudi Medical Journal April 2024, 45 (4) 405-413; DOI: https://doi.org/10.15537/smj.2024.45.4.20230899

References

  1. 1.↵
    1. Heck D,
    2. Jost A.
    Carotid stenosis, stroke, and carotid artery revascularization. Prog Cardiovasc Dis 2021; 65: 49-54.
    OpenUrl
  2. 2.↵
    1. Arasu R,
    2. Arasu A,
    3. Muller J.
    Carotid artery stenosis: an approach to its diagnosis and management. Aust J Gen Pract 2021; 50: 821-825.
    OpenUrl
  3. 3.↵
    1. Bonati LH,
    2. Jansen O,
    3. de Borst GJ,
    4. Brown MM.
    Management of atherosclerotic extracranial carotid artery stenosis. Lancet Neurol 2022; 21: 273-283.
    OpenUrl
  4. 4.↵
    1. Lanzino G,
    2. Tallarita T,
    3. Rabinstein AA.
    Internal carotid artery stenosis: natural history and management. Semin Neurol 2010; 30: 518-527.
    OpenUrlPubMed
  5. 5.↵
    1. Brinjikji W,
    2. Huston J 3rd.,
    3. Rabinstein AA,
    4. Kim GM,
    5. Lerman A,
    6. Lanzino G.
    Contemporary carotid imaging: from degree of stenosis to plaque vulnerability. J Neurosurg 2016; 124: 27-42.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Dharmakidari S,
    2. Bhattacharya P,
    3. Chaturvedi S.
    Carotid artery stenosis: medical therapy, surgery, and stenting. Curr Neurol Neurosci Rep 2017; 17: 77.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Gaba K,
    2. Ringleb PA,
    3. Halliday A.
    Asymptomatic carotid stenosis: intervention or best medical therapy? Curr Neurol Neurosci Rep 2018; 18: 80.
    OpenUrlPubMed
  8. 8.↵
    1. Uno M,
    2. Takai H,
    3. Yagi K,
    4. Matsubara S.
    Surgical technique for carotid endarterectomy: current methods and problems. Neurol Med Chir (Tokyo) 2020; 60: 419-428.
    OpenUrl
  9. 9.↵
    1. AbuRahma AF,
    2. Avgerinos ED,
    3. Chang RW,
    4. Darling RC 3rd,
    5. Duncan AA,
    6. Forbes TL, et al
    . Society for vascular surgery clinical practice guidelines for management of extracranial cerebrovascular disease. J Vasc Surg 2022; 75: 4S-22S.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Bir SC,
    2. Kelley RE.
    Carotid atherosclerotic disease: a systematic review of pathogenesis and management. Brain Circ 2022; 8: 127-136.
    OpenUrl
  11. 11.↵
    1. Rerkasem A,
    2. Orrapin S,
    3. Howard DP,
    4. Nantakool S,
    5. Rerkasem K.
    Local versus general anaesthesia for carotid endarterectomy. Cochrane Database Syst Rev 2021; 10: CD000126.
    OpenUrl
  12. 12.↵
    1. Algahtani H,
    2. Shirah B,
    3. Alghamdi AS,
    4. Subahi A,
    5. Alqahtani SA,
    6. Alshamy A.
    Carotid artery angioplasty and stenting for carotid stenosis: a single-center experience from Saudi Arabia. Neurointervention 2020; 15: 133-139.
    OpenUrl
  13. 13.↵
    1. Chang RW,
    2. Tucker LY,
    3. Rothenberg KA,
    4. Lancaster E,
    5. Faruqi RM,
    6. Kuang HC, et al.
    Incidence of ischemic stroke in patients with asymptomatic severe carotid stenosis without surgical intervention. JAMA 2022; 327: 1974-1982.
    OpenUrlPubMed
  14. 14.↵
    1. Feigin VL,
    2. Lawes CM,
    3. Bennett DA,
    4. Barker-Collo SL,
    5. Parag V.
    Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol 2009; 8: 355-369.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Bennett KM,
    2. Scarborough JE,
    3. Shortell CK.
    Predictors of 30-day postoperative stroke or death after carotid endarterectomy using the 2012 carotid endarterectomy-targeted American College of Surgeons National Surgical Quality Improvement Program database. J Vasc Surg 2015; 61: 103-111.
    OpenUrlPubMed
  16. 16.↵
    1. de Weerd M,
    2. Greving JP,
    3. de Jong AW,
    4. Buskens E,
    5. Bots ML.
    Prevalence of asymptomatic carotid artery stenosis according to age and gender: systematic review and metaregression analysis. Stroke 2009; 40: 1105-1113.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Elsharawy MA.
    Carotid endarterectomy in high-risk Arab patients. Interact Cardiovasc Thorac Surg 2009; 8: 100-103.
    OpenUrlCrossRefPubMed
  18. 18.↵
    1. Taha A,
    2. Yousr A,
    3. Al-Neaimy S,
    4. Al-Shaikh M.
    Carotid endarterectomy in Iraq: a single-center experience. Egypt J Surg 2015; 34: 110-117.
    OpenUrl
  19. 19.↵
    1. Varetto G,
    2. Gibello L,
    3. Sperti F,
    4. Trevisan A,
    5. Frola E,
    6. Garneri P, et al.
    Early carotid endarterectomy provides a better neurological outcome in symptomatic patients: a single-center experience. Ann Vasc Surg 2017; 45: 62-68.
    OpenUrl
  20. 20.↵
    1. Yuan W,
    2. Huo R,
    3. Ma K,
    4. Han Y,
    5. Yin X,
    6. Yang J, et al.
    A single-center retrospective study with one-year follow-up after CEA in patients with severe carotid stenosis with contralateral carotid artery occlusion. Front Neurol 2022; 13: 971673.
    OpenUrl
  21. 21.↵
    1. Rizwan M,
    2. Aridi HD,
    3. Dang T,
    4. Alshwaily W,
    5. Nejim B,
    6. Malas MB.
    Long-term outcomes of carotid endarterectomy and carotid artery stenting when carried out by a single vascular surgeon. Vasc Endovascular Surg 2019; 53: 216-223.
    OpenUrl
  22. 22.↵
    1. Barkat M,
    2. Hajibandeh S,
    3. Hajibandeh S,
    4. Torella F,
    5. Antoniou GA.
    Systematic review and meta-analysis of dual versus single antiplatelet therapy in carotid interventions. Eur J Vasc Endovasc Surg 2017; 53: 53-67.
    OpenUrl
  23. 23.↵
    1. Ku JC,
    2. Taslimi S,
    3. Zuccato J,
    4. Pasarikovski CR,
    5. Nasr N,
    6. Chechik O, et al.
    Editor’s choice - peri-operative outcomes of carotid endarterectomy are not improved on dual antiplatelet therapy vs. aspirin monotherapy: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg 2022; 63: 546-555.
    OpenUrl
  24. 24.↵
    1. Sideso E,
    2. Walton J,
    3. Handa A.
    General or local anesthesia for carotid endarterectomy--the “real-world” experience. Angiology 2011; 62: 609-613.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Ren S,
    2. Li X,
    3. Wen J,
    4. Zhang W,
    5. Liu P.
    Systematic review of randomized controlled trials of different types of patch materials during carotid endarterectomy. PLoS One 2013; 8: e55050.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Texakalidis P,
    2. Giannopoulos S,
    3. Charisis N,
    4. Giannopoulos S,
    5. Karasavvidis T,
    6. Koullias G, et al.
    A meta-analysis of randomized trials comparing bovine pericardium and other patch materials for carotid endarterectomy. J Vasc Surg 2018; 68: 1241-1256.
    OpenUrl
  27. 27.↵
    1. Bierle DM,
    2. Raslau D,
    3. Regan DW,
    4. Sundsted KK,
    5. Mauck KF.
    Preoperative evaluation before noncardiac surgery. Mayo Clin Proc 2020; 95: 807-822.
    OpenUrlPubMed
  28. 28.↵
    1. Tan J,
    2. Wang Q,
    3. Shi W,
    4. Liang K,
    5. Yu B,
    6. Mao Q.
    A machine learning approach for predicting early phase postoperative hypertension in patients undergoing carotid endarterectomy. Ann Vasc Surg 2021; 71: 121-131.
    OpenUrl
  29. 29.↵
    1. Li B,
    2. Beaton D,
    3. Eisenberg N,
    4. Lee DS,
    5. Wijeysundera DN,
    6. Lindsay TF, et al.
    Using machine learning to predict outcomes following carotid endarterectomy. J Vasc Surg 2023; 78: 973-987.
    OpenUrl
Back to top

In this issue

Print
Download PDF
Email Article
Citation Tools
Bookmark this article

Jump to section

Keywords