Carotid endarterectomy with concomitant distal endovascular intervention is associated with increased rates of stroke and death.

ABSTRACT:

Objective

Carotid endarterectomy (CEA) with concomitant distal endovascular intervention (CEA+D) is infrequently necessary but has often been used as a salvage maneuver when complications occur during CEA. The present study aimed to determine whether preoperative risk factors associated with CEA requiring CEA+D exist and to evaluate the outcomes compared with isolated CEA.

Methods

The Vascular Quality Initiative CEA registry was used to identify patients who had undergone CEA or CEA+D for asymptomatic or symptomatic carotid stenosis from 2013 to 2019. Data regarding distal intervention included whether angioplasty or stenting of the distal internal carotid artery (ICA) and/or bifurcation had been required. However, information regarding the indication or whether the interven

SUBMITTER: Stewart LM 

PROVIDER: S-EPMC7854948 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature