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Updated: Jul 19, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
08:22

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Cerebrovascular disease

Ian A Herrick1

  • 1Department of Anesthesia and Perioperative Medicine, University of Western Ontario and London Health Sciences Centre, London, Ontario, Canada. iherrick@uwo.ca

Current Opinion in Anaesthesiology
|October 6, 2006
PubMed

Insights

Carotid endarterectomy is a key stroke prevention surgery. Recent findings guide patient selection and perioperative care, especially for older patients with comorbidities, to reduce risks.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Anesthesiology

Background:

  • Carotid endarterectomy (CEA) is a primary surgical treatment for stroke prevention in patients with extracranial cerebrovascular disease.
  • Multicenter trial subgroup analyses have significantly enhanced understanding of patient selection and perioperative risks associated with CEA.

Purpose of the Study:

  • To review recent advancements in the understanding of appropriate carotid endarterectomy use.
  • To outline recent developments and strategies impacting perioperative care for CEA patients.

Main Methods:

  • Literature review of multicenter trials and recent studies.
  • Analysis of findings related to patient selection and perioperative management.

Main Results:

  • Recent advances refine the appropriate indications for carotid endarterectomy.
  • New strategies are emerging for optimizing perioperative care and reducing complications.

Conclusions:

  • Anesthesiologists will increasingly manage older, higher-risk patients undergoing CEA.
  • Effective management of comorbidities, particularly hypertension and cardiac risks, is crucial for reducing perioperative morbidity and mortality.
Abstract

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