Carotid Artery Surgery

Professor of Surgery, Section of Vascular Surgery, The University of Iowa College of Medicine, Iowa City, IA, USA

DIAGNOSIS, IMAGING, AND PATHOLOGY: Carotid Artery Duplex Scanning; Technique of Carotid Angiography and Measurement Systems of Stenosis; Computed Tomography Angiography of the Cervical Carotid Arteries; Magnetic Resonance Angiography of the Carotid Arteries in the Neck; The Carotid Bifurcation Plaque and Carotid Endarterectomy; The Role of Brain Imaging in the Preoperative Evaluation of Carotid Surgical Patients. PREOPERATIVE EVALUATION OF CAROTID DISEASE: Surgical Management of Asymptomatic Carotid Stenosis; Randomized Clinical Trials for Symptomatic Carotid Disease; Which Patients are Inappropriate for Surgery and What is the "Best" Medical Management for Non-Surgical Patients?; Cardiac Evaluation of Patients with Carotid Artery Stenosis and Treatment Strategies for Co-Existing Disease; Simultaneous Carotid Occlusive Disease and Intracranial Aneurysm; Management of Concomitant Coronary Bypass and Carotid Reconstruction; Tandem Stenotic Lesions of the Cervical Bifurcation and Siphon Regions of the Internal Carotid Artery; The Visual System Manifestations of Carotid Artery Disease; Carotid Endarterectomy in Elderly Patients; Carotid Endarterectomy Based on Duplex or Magnetic Resonance Imaging (MRA) Alone; Subacute Carotid Surgery in Recent Stroke Patients. SURGICAL MANAGEMENT OF CAROTID ARTERY DISEASE: Basic Principles of Vascular Repair; General Anesthesia for Carotid Endarterectomy; The Awake Carotid Endarterectomy; Anatomical Basis and Technique of Carotid Endarterectomy; Exposure of the Distal Internal Carotid Artery; Microsurgical Carotid Endarterectomy; Carotid Endarterectomy by Eversion Technique; Use of Vein or Synthetic Patches in Carotid Endarterectomy; Management of Complete Carotid Occlusion; Indications and Techniques for Emergent Carotid Exploration; Carotid Stump Syndromes and External Revascularization; Propagating Intraluminal Thrombus: Surgery or Anticoagulation?; Nonatheromatous Lesions of the Cervical Carotid Artery: Fibrodysplasia, Aneurysms, Loops, and Kinks; Surgical Techniques for Treatment of Innominate and/or Proximal Common Carotid Artery Lesions; Blunt Trauma and Carotid Dissection; Penetrating Carotid Trauma; Management of Tumors Involving the Cervical Carotid. PERIOPERATIVE MONITORING AND MANAGEMENT DURING CAROTID ENDARTERECTOMY: Intraoperative Anticoagulation and Reversal; Rationale for the Use of Cerebral Protective Agents During Carotid Reconstruction; Overview of Shunt Controversy; Carotid Shunt; Intraoperative rCBF; Electrophysiologic Monitoring During Carotid Endarterectomy: Electroencephalography and Somato-Sensory Evoked Potentials; Intraoperative Transcranial Doppler; Near Infrared Spectroscopy during Carotid Surgery; Intraoperative Completion Ultrasonography; Intraoperative Completion Angiography; Ischemic Complications of Carotid Endarterectomy; Surgical Anatomy, Nerve Injuries, and Wound-Related Complications; Medical and Hemodynamic Complications following Carotid Reconstruction; Hyperfusion Syndrome Following Carotid Endarterectomy; Recurrent Carotid Stenosis: Prevention, Risk Factors, and Treatment. POSTOPERATIVE CARE OF CAROTID PATIENTS: Decreasing Resource Utilization Following Carotid Surgery; Medical Treatment and Management of Stroke; Is There a Need for Follow-up Evaluation and Imaging of Carotid Surgical Patients? THE FUTURE OF CAROTID ENDARTERECTOMY: Techniques of Endovascular Treatment: Angioplasty, and Stenting of Carotid Artery Stenosis; Outcome Analysis of Carotid Surgery; The Impact of Governmental and Other Payer Cost Controls on the Future of Carotid Surgery.