Microsurgical Carotid Endarterectomy

This work features step-by-step instructions for carotid endarterectomy, a technique that has been shown to be a beneficial treatment option for cerebrovascualar accidents. Illustrations are provided that depict many anatomical features and operative techniques essential to a successful outcome.

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This work features step-by-step instructions for carotid endarterectomy along with illustrations that depict many anatomical features and operative techniques essential to a successful outcome. Coverage includes: a review of the epidemiology, natural history and controversies of carotid stenosis; a discussion of the principles underlying diagnosis with both conventional and newer modalities, including magnetic resonance and MR angiography; preoperative evaluation considerations of the patient; current indications for selection and carotid endarectomy based on the results of recent and ongoing clinical trials; descriptions of intraoperative techniques intended to improve outcome, such as the use of barbiturates for cerebral protection, electrophysiological monitoring and transcranial Doppler sonography; and important aspects of anaesthetic management and postoperative care.