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- W2124305469 abstract "Experienced carotid surgeons know that when performing a carotid endarterectomy, it is important to avoid excessive manipulation of the carotid bifurcation during dissection, especially when the patient has had recent symptoms from an “active” plaque. This study by Fisher et al comparing the pathology of carotid plaques obtained from the asymptomatic carotid endarterectomy trial, ACAS, to those taken from the symptomatic trial, NASCET, helps explain the danger. Plaques resected from symptomatic patients are more frequently ulcerated and have attached thrombus compared with asymptomatic plaques and, therefore, are at greater risk to embolize clot and atherosclerotic debris into the cerebral circulation during surgical mobilization. During carotid endarterectomy, the tube-like carotid plaque is cut length-wise and not infrequently torn, preventing a highly accurate gross or microscopic assessment. This might …" @default.
- W2124305469 created "2016-06-24" @default.
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- W2124305469 date "2005-02-01" @default.
- W2124305469 modified "2023-10-18" @default.
- W2124305469 title "Editorial Comment—Plaque Pathology and Patient Selection for Carotid Endarterectomy" @default.
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- W2124305469 doi "https://doi.org/10.1161/01.str.0000152956.81155.af" @default.
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