Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy
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Carotid endarterectomy is a standard treatment for symptomatic high-degree internal carotid artery stenosis. The aim of this article is to present possible intimal lesions after carotid endarterectomy. These lesions could be manifested as intimal flaps, intimal steps or dissections with or without occlusion or stenosis of the artery.
The evaluation of the frequency and characteristics of the asymptomatic dissecting intimal lesions of the common carotid arteries was performed in a sample of 100 patients who underwent endarterectomy for symptomatic high-grade stenosis of the internal carotid artery.
We found five patients with asymptomatic dissecting intimal lesions of the common carotid arteries.
The most common causes of these intimal lesions were shunting and prolongation of the clamping time. Routine carotid ultrasound follow-up exams are necessary because of the potential need for a change in the antithrombotic therapy or due to a need to perform an endovascular treatment.
KeywordsCarotid endarterectomy Intimal lesions Carotid ultrasound
Conflict of interest
The authors declare no conflict of interests.
- 8.Russell D, Bakke SJ, Wiberg J, Nakstad P, Nyberg-Hansen R. Patency and flow velocity profiles in the internal carotid artery assessed by digital subtraction angiography and Doppler studies three months following endarterectomy. J Neurol Neurosurg Psychiatry. 1986;49:183–6.PubMedCentralCrossRefPubMedGoogle Scholar
- 20.Wallaert JB, Goodney PP, Vignati JJ, Stone DH, Nolan BW, Bertges DJ et al. Completion imaging after carotid endarterectomy in the vascular study group of New England. J Vasc Surg. 2011;54:376–385, 385 e371–373.Google Scholar