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Opinion Article - Case Reports in Surgery and Invasive Procedures (2023) Volume 7, Issue 3
Benefits of carotid endarterectomy surgery for patients at high risk of stroke
Andrew Ferik *
Department of Neurosurgery, Masu Memorial Hospital, Fukushima, Japan
- *Corresponding Author:
- Andrew Ferik
Department of Neurosurgery
Masu Memorial Hospital
Fukushima, Japan
E-mail: ferik@andrew.or.jp
Received: 01-May-2023, Manuscript No. AACRSIP-23-97905; Editor assigned: 04-May-2023, PreQC No. AACRSIP-23-97905(PQ); Reviewed: 18-May-2023, QC No. AACRSIP-23-97905; Revised: 12-May-2023, Manuscript No. AACRSIP-23-97905(R); Published: 29-May-2023, DOI: 10.35841/aamor-7.3.143
Citation: Ferik A. Benefits of carotid endarterectomy surgery for patients at high risk of stroke. Case Rep Surg Invasive Proced. 2023;7(3):143
Abstract
Introduction
Carotid endarterectomy surgery can also improve the quality of life for patients at high risk of stroke. Strokes can cause a range of physical and cognitive disabilities, depending on the location and severity of the damage to the brain. Even a minor stroke can cause long-term impairment and decreased quality of life. By reducing the risk of stroke, CEA can help patients avoid these disabilities and maintain their independence and quality of life [1].
Furthermore, studies have shown that carotid endarterectomy surgery can improve cognitive function in patients with carotid stenosis. A study found that patients who underwent CEA had better cognitive function one year after surgery compared to patients who received medical therapy alone. In contrast, carotid endarterectomy surgery is a one-time procedure that can prevent strokes and their associated healthcare costs [2].
Reduces the risk of stroke
The primary benefit of carotid endarterectomy surgery is that it reduces the risk of stroke. By removing the build-up of plaque from the carotid arteries, the surgery restores normal blood flow to the brain, reducing the risk of a stroke caused by a blockage in the carotid arteries [3].
Prevents recurrent strokes
For patients who have already experienced a stroke or TIA, carotid endarterectomy surgery can help prevent recurrent strokes. By removing the plaque build-up from the carotid arteries, the surgery reduces the risk of a future stroke caused by a blockage in the carotid arteries [4].
Improves quality of life
Stroke can have significant physical and cognitive impacts, affecting a person's ability to perform daily activities, work, and engage in social and recreational activities. By reducing the risk of stroke, carotid endarterectomy surgery can improve a patient's quality of life and overall well-being [5].
Low risk of complications
Carotid endarterectomy surgery is a relatively safe procedure, with a low risk of complications. Serious complications, such as stroke or death, occur in less than 2% of cases, according to the American Heart Association.
Conclusion
Carotid endarterectomy surgery is a safe and effective procedure that can reduce the risk of stroke and improve quality of life for patients at high risk of stroke. By removing plaque build-up from the carotid arteries, the surgery restores normal blood flow to the brain, reducing the risk of a stroke caused by a blockage in the carotid arteries. Patients should discuss the benefits and risks of carotid endarterectomy surgery with their healthcare provider to determine if the procedure is right for them.
References
- Reed AB, Gaccione P, Belkin M, et al. Preoperative risk factors for carotid endarterectomy: Defining the patient at high risk. J Vasc Surg. 2003;37(6):1191-9.
- Yadav JS, Wholey MH, Kuntz RE, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351(15):1493-501.
- Giles KA, Hamdan AD, Pomposelli FB, et al. Stroke and death after carotid endarterectomy and carotid artery stenting with and without high risk criteria. J Vasc Surg. 2010;52(6):1497-504.
- Jordan Jr WD, Alcocer F, Wirthlin DJ, et al. High-risk carotid endarterectomy: Challenges for carotid stent protocols. J Vasc Surg. 2002;35(1):16-22.
- Safian RD, Bresnahan JF, Jaff MR, et al. Protected carotid stenting in high-risk patients with severe carotid artery stenosis. J Am Coll Cardiol. 2006 ;47(12):2384-9.