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

Carotid endarterectomy. Who needs it?

J D Trobe

    Ophthalmology
    |June 1, 1987
    PubMed
    Summary

    Carotid endarterectomy may not be advisable for patients experiencing ocular symptoms of cerebral ischemia. Aspirin presents a safer, effective alternative, warranting further study before considering surgery.

    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

    Serous retinal detachment in hypertensive posterior reversible encephalopathy syndrome.

    AJNR. American journal of neuroradiology·2011
    Same author

    The Fifth European Neuro-Ophthalmological Society (EUNOS) meeting, Tübingen, Germany, July 22-26, 2001.

    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society·2002
    Same author

    Penetrating orbital injury by automobile wiper-control stalk.

    Archives of ophthalmology (Chicago, Ill. : 1960)·2000
    Same author

    Common errors in the use of magnetic resonance imaging for neuro-ophthalmic diagnosis.

    Survey of ophthalmology·2000
    Same author

    Practice parameter: the role of corticosteroids in the management of acute monosymptomatic optic neuritis [RETIRED]. Report of the Quality Standards Subcommittee of the American Academy of Neurology.

    Neurology·2000
    Same author

    Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer.

    American journal of ophthalmology·2000

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Ophthalmology

    Background:

    • Carotid endarterectomy is a common surgical procedure.
    • Recent evidence questions its benefit for patients with ocular manifestations of cerebral ischemia.

    Purpose of the Study:

    • To evaluate the risk-benefit ratio of carotid endarterectomy in patients with ocular ischemic symptoms.
    • To compare surgical intervention with alternative treatments like aspirin.

    Main Methods:

    • Review of existing evidence on stroke risk in untreated patients with amaurosis fugax, retinal plaques, and infarcts.
    • Assessment of perioperative stroke and death risks associated with carotid endarterectomy.
    • Evaluation of aspirin as a risk-free alternative.

    Main Results:

    • The annual stroke risk for untreated patients with ocular ischemic symptoms is less than 3%.
    • Perioperative risks of stroke and death from endarterectomy may be underestimated.
    • Aspirin is a relatively safe and moderately effective alternative.

    Conclusions:

    • The risk-benefit profile of carotid endarterectomy is questionable for ocular ischemic symptoms.
    • Consideration for endarterectomy should be limited to randomized trials.
    • Aspirin should be considered as a primary treatment option.

    Related Experiment Videos