Surgery Today

, Volume 45, Issue 10, pp 1227–1232 | Cite as

Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy

  • Hrvoje BudincevicEmail author
  • Ante Ivkosic
  • Miran Martinac
  • Tomislav Trajbar
  • Ivan Bielen
  • Laszlo Csiba
Original Article



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.


Carotid endarterectomy Intimal lesions Carotid ultrasound 


Conflict of interest

The authors declare no conflict of interests.


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Copyright information

© Springer Japan 2014

Authors and Affiliations

  • Hrvoje Budincevic
    • 1
    Email author
  • Ante Ivkosic
    • 2
  • Miran Martinac
    • 2
  • Tomislav Trajbar
    • 2
  • Ivan Bielen
    • 3
  • Laszlo Csiba
    • 4
  1. 1.Stroke and Intensive Care Unit, Department of neurologyUniversity Hospital “Sveti Duh”ZagrebCroatia
  2. 2.Department of surgeryUniversity Hospital “Sveti Duh”ZagrebCroatia
  3. 3.Department of neurologyUniversity Hospital “Sveti Duh”ZagrebCroatia
  4. 4.Department of neurology, Medical and Health Science CenterUniversity of DebrecenDebrecenHungary

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