Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy

Hrvoje Budincevic, Ante Ivkosic, Miran Martinac, Tomislav Trajbar, Ivan Bielen, Laszlo Csiba

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)1227-1232
Number of pages6
JournalSurgery Today
Volume45
Issue number10
DOIs
Publication statusPublished - Oct 14 2015

Keywords

  • Carotid endarterectomy
  • Carotid ultrasound
  • Intimal lesions

ASJC Scopus subject areas

  • Surgery

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