carotid artery disease carotid disease

ref EJVES Feb 2016

The answer is: VERY LIKELY; In one of the largest reported analysing subclinical cerebral changes associated with CEA, it was demonstrates that awake patients who need a shunt are more prone to develop diffusion-weighted magnetic resonance imaging brain scans (DWI) lesions detected by MRI scans 5 days later, and the use of a shunt is an independent predictor.

One in every eight CEA patients developed new DWI lesions (rate doubled in symptomatic patients). Shunt dependence in conscious CEA patients is highly associated with the development of new DWI lesions compared with non-shunted patients.

 

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do you expect to have similar stroke rate if you operate on a nice talkative active person and on a tired non-talkative and inactive one? is it your technical skills that determines the risk of stroke?

Reference:http://stroke.ahajournals.org/content/early/2014/04/30/STROKEAHA.113.003956.abstractActivities of Daily Living Is a Critical Factor in Predicting Outcome After Carotid Endarterectomy in Asymptomatic PatientsAnand Dayama, MD, Pratik Pimple, MBBS, MPH, Barath Badrinathan, MD,Richard Lee, MD and James G. Reeves, MDStroke, STROKEAHA.113.003956NOT REALLY!!!! This… Read More