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A Patient / Family Informed Consent Guide to

Carotid
Endarterectomy
Prepared by Department of Neurosurgery
Updated December 2007

What is Carotid Artery


Stenosis (Narrowing)

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Normal Carotid Artery

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Artery: Moderate


Stenosis; Embolism

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Artery: High-grade


Stenosis

(String sign)

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Occlusion:
Atherosclerosis and Thrombosis

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Artery:
Pseudo-aneurysm

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Why Treat?
Studies have shown that endarterectomy
(when done by a surgeon with perioperative
stroke risk of < 5%) reduces 5-year
cumulative stroke risk by 15% as compared to
best medical therapy

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Treatment Options
Medical: Aspirin and other anti-platelets
agents
Surgery - Carotid endarterectomy
Carotid angioplasty and stenting

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Endarterectomy

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Operation Risks (5%)


Excessive bleeding (during or after
operation).
EmbolismStroke (TIA, CVA), coma
Infections
Anaesthetics

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Artery Stenting


This may be considered for patients
with:
High medical / surgical risks
Recurrent stenosis after surgery
Radiation induced stenosis

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

Carotid Artery Stenting

Picture adapted from www.brain-aneurysm.com

A Patient / Family Informed Consent Guide to


Carotid Endarterectomy

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