indications

Last reviewed 01/2018

There is good evidence that patients with symptomatic carotid artery stenosis >70% benefit from carotid endarterectomy.

In calculating whether surgery is indicated for a particular patient one should consider:

• the risk of further strokes:
• TIA's suggest high risk
• large completed strokes reduce the utility of ipsilateral surgery

• the operative risk of complications:
• operator dependent
• avoid surgery soon after a stroke or myocardial infarct

Carotid endarterectomy for asymptomatic carotid artery stenosis is described in the link below.