Key result
Critical perioperative management during carotid endarterectomy is essential to reduce complications, especially in patients at high risk for hyperperfusion syndrome or coronary artery disease.
Careful perioperative management is critical to reduce complications like hyperperfusion syndrome during carotid endarterectomy for severe carotid stenosis.
We review our recent experience of carotid endarterectomy (CEA) for 30 patients with severe carotid artery stenosis. In this report, we emphasize the importance of critical management before, during, and after surgery to reduce or remove the incidence of perioperative complications. Especially, we should carefully manage the patients who are at higher risk for hyperperfusion syndrome and those with complications of serious coronary artery disease. We also describe our surgical technique and results.
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Kuroda et al. (2005) conducted a review in Severe carotid artery stenosis (n=30). Carotid endarterectomy was evaluated. Critical perioperative management during carotid endarterectomy is essential to reduce complications, especially in patients at high risk for hyperperfusion syndrome or coronary artery disease.
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