Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Emergency carotid endarterectomy.

H H Eckstein1, H Schumacher, K Klemm

  • 1Department of Surgery, Division of Vascular Surgery, University of Heidelberg Medical School, Heidelberg, Germany.

Cerebrovascular Diseases (Basel, Switzerland)
|September 4, 1999
PubMed
Summary

Emergency carotid endarterectomy (CEA) offers therapeutic benefits for select neurologically unstable patients with ischemic stroke. Completion angiography is essential for successful outcomes in this critical intervention.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Developing a web-based add-on intervention for parents of adolescents with anorexia nervosa: a mixed methods preliminary study.

Journal of eating disorders·2026
Same author

The FRESH Study: Treatment of Intracranial Aneurysms with the New FRED X Flow Diverter with Antithrombotic Surface Treatment Technology-First Multicenter Experience in 161 Patients.

AJNR. American journal of neuroradiology·2023
Same author

Prediction of response to Certolizumab-Pegol in rheumatoid arthritis (PreCePRA) by functional MRI of the brain - Study protocol for a randomized double-blind controlled study.

Contemporary clinical trials communications·2021
Same author

Good tolerance of hyaluronic acid injections during the period of the COVID-19 pandemic: observing a cohort of 1093 patients in a prospective, observational real-life study.

Journal of the European Academy of Dermatology and Venereology : JEADV·2021
Same author

[Erratum to: Interdisciplinary neurovascular networks: state of the art].

Der Nervenarzt·2020
Same author

[Interdisciplinary neurovascular networks: state of the art].

Der Nervenarzt·2020

Area of Science:

  • Vascular Surgery
  • Neurology
  • Interventional Cardiology

Background:

  • Neurologically unstable patients experiencing ischemic stroke often require urgent intervention.
  • Carotid endarterectomy (CEA) is a primary treatment for carotid artery stenosis.
  • The efficacy of emergency CEA in critically ill patients remains a subject of investigation.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of emergency carotid endarterectomy (CEA) in neurologically unstable patients.
  • To analyze neurological outcomes, long-term survival, and stroke recurrence rates following emergency CEA.
  • To determine the role of completion angiography and thrombolytic agents in emergency CEA procedures.

Main Methods:

  • A consecutive series of 71 emergency CEAs were performed between 1980 and 1998.

Related Experiment Videos

  • Patients were classified into three groups: acute stroke, progressive stroke, and crescendo transient ischemic attacks.
  • Neurological outcomes were assessed using the modified Rankin scale; long-term survival and stroke recurrence were analyzed.

    • Main Results:

    • Recovery rates (modified Rankin 0-3) were 56.3% for acute stroke, 76.4% for progressive stroke, and 80.9% for crescendo TIAs.
    • Major stroke/mortality rates (modified Rankin 4-6) were 43.7%, 23.6%, and 19.1% respectively.
    • Five-year stroke-free survival was 53.7%, with 85.3% remaining stroke-free during follow-up (excluding perioperative strokes).

    Conclusions:

    • Emergency CEA can be a valuable therapeutic option for carefully selected neurologically unstable patients.
    • Completion angiography is a mandatory component of emergency CEA to ensure technical success.
    • Emergency CEA should be considered as part of the therapeutic strategy for acute ischemic stroke management.