Transient ischemic attack surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
Carotid endartectomy may be performed within 2 weeks of cerebral or retinal TIA in those with TIA attributed to a high-grade internal carotid artery stenosis: | Carotid endartectomy may be performed within 2 weeks of cerebral or retinal TIA in those with TIA attributed to a high-grade internal carotid artery stenosis: | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | |||
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! style="background: #4479BA; width: 250px;" | {{fontcolor|#FFF|Degree of carotid artery stenosis}} | |||
! style="background: #4479BA; width: 250px;" | {{fontcolor|#FFF|Carotid endartectomy}} | |||
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| style="padding: 5px 5px; background: #F5F5F5;" |70-99% internal carotid artery stenosis | |||
| style="padding: 5px 5px; background: #F5F5F5;" |Recommended | |||
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| style="padding: 5px 5px; background: #F5F5F5;" |50-69% stenosis | |||
| style="padding: 5px 5px; background: #F5F5F5;" | Recommended only in specific situation† | |||
|- | |||
| style="padding: 5px 5px; background: #F5F5F5;" |<50% stenosis | |||
| style="padding: 5px 5px; background: #F5F5F5;" | Not recommended | |||
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|} | |||
†Recommended only in certain patients and at centres with perioperative complication rate of <6% | |||
==References== | ==References== | ||
Revision as of 21:51, 8 December 2016
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Transient ischemic attack Microchapters |
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Differentiating Transient Ischemic Attack from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Transient ischemic attack surgery On the Web |
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American Roentgen Ray Society Images of Transient ischemic attack surgery |
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Risk calculators and risk factors for Transient ischemic attack surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
For people with a greater than 70% stenosis within the carotid artery, removal of atherosclerotic plaque by surgery, specifically a carotid endarterectomy, may be recommended.
Surgery
Carotid endartectomy may be performed within 2 weeks of cerebral or retinal TIA in those with TIA attributed to a high-grade internal carotid artery stenosis:
| Degree of carotid artery stenosis | Carotid endartectomy |
|---|---|
| 70-99% internal carotid artery stenosis | Recommended |
| 50-69% stenosis | Recommended only in specific situation† |
| <50% stenosis | Not recommended |
†Recommended only in certain patients and at centres with perioperative complication rate of <6%