Carotid artery stenosis and endarterectomy

AORN J. 2002 Feb;75(2):310-2, 314-24; quiz 326-32. doi: 10.1016/s0001-2092(06)61410-5.

Abstract

This article reviews the disease process of carotid artery stenosis, its symptomatology, and prognosis for progression to ischemic stroke. Indications for both medical and surgical treatment are reviewed as is criteria for surgical categorization as specified by the American Heart Association guidelines for carotid endarterectomy. Although diagnostic testing, medical treatment and alternative therapy options of angioplasty, stenting and thrombolysis are presented, a thorough overview of the surgical procedure of carotid endarterectomy is the major focus of discussion, as it remains the "gold standard" of treatment for severe carotid artery stenosis.

Publication types

  • Review

MeSH terms

  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / epidemiology
  • Carotid Stenosis / nursing*
  • Carotid Stenosis / surgery*
  • Disease Progression
  • Endarterectomy / instrumentation
  • Endarterectomy / methods*
  • Endarterectomy / nursing*
  • Endarterectomy / standards
  • Humans
  • Job Description
  • Nurse's Role
  • Operating Room Nursing / methods*
  • Patient Care Planning
  • Patient Selection
  • Perioperative Care / methods
  • Perioperative Care / nursing
  • Practice Guidelines as Topic
  • Prognosis
  • Risk Factors
  • Stroke / etiology