Abstract
Carotid endarterectomy (CEA) is a means for the secondary prevention of stroke that is caused by embolisation from carotid plaques. CEA is by far the most thoroughly studied surgical procedure as well as one of the most frequently used surgical techniques. Thrombendarterectomy was first performed by DeBakey in 1953. The number of surgeries increased steadily until the 1980s when, in the wake of extracranial-intracranial arterial bypass study, neurologists first questioned the rationale of CEA. The neurologists recognised that CEA was used to prevent stroke, but that stroke may happen during or after CEA as well. At that time the role of distal embolisation was not sufficiently understood and appreciated. The dangers of carotid stenosis were seen in terms of a reduction and interruption in blood flow. Only later was the embolic origin of the majority of strokes fully appreciated and antiaggregant treatment initiated. Such a treatment proved to be effective and thus the value of CEA was questioned even further.
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Beneš, V. (2009). Carotid Endarterectomy. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_22
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DOI: https://doi.org/10.1007/978-3-211-84820-3_22
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