Detalhes bibliográficos
| Resumo: | INTRODUCTION: Contralateral carotid occlusion (CCO) is considered a high-risk condition for patients undergoing carotid artery endarterectomy (CEA). Patients with a CCO may be intolerant to carotid cross-clamping during CEA, thus prone to postoperative adverse neurological outcomes. Patients with CCO may also have a higher burden of atherosclerotic disease, leading to a higher rate of cardiovascular events. METHODS: A Medline search was performed in order to identify publications focused on the impact of CCO on outcomes after CEA. RESULTS: Patients with CCO present a higher incidence of intolerance to carotid cross-clamping. The rates of shunt use are higher in patients with CCO. In the postoperative period, patients with CCO show a higher rate of stroke. Evidence regarding the effect of CCO on long-term outcomes remains controversial, with most studies reporting a lack of association between CCO and adverse long-term outcomes after CEA. CONCLUSION: Patients with CCO have an increased risk of postoperative adverse outcomes. The best strategy for this group of patients should be based on a case-by-case approach. |
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| Autores principais: | Duarte-Gamas, Luis |
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| Outros Autores: | Pereira-Neves, António; Jácome, Filipa; Domingues-Monteiro, Diogo; Rocha-Neves, João P. |
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| Assunto: | Carotid arterial disease Carotid endarterectomy |
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| Ano: | 2022 |
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| País: | Portugal |
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| Tipo de documento: | artigo |
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| Tipo de acesso: | unknown |
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| Instituição associada: | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
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| Idioma: | inglês |
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| Origem: | Angiologia e Cirurgia Vascular |
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