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Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy

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Abstract

Purpose

Carotid endarterectomy is a standard treatment for symptomatic high-degree internal carotid artery stenosis. The aim of this article is to present possible intimal lesions after carotid endarterectomy. These lesions could be manifested as intimal flaps, intimal steps or dissections with or without occlusion or stenosis of the artery.

Methods

The evaluation of the frequency and characteristics of the asymptomatic dissecting intimal lesions of the common carotid arteries was performed in a sample of 100 patients who underwent endarterectomy for symptomatic high-grade stenosis of the internal carotid artery.

Results

We found five patients with asymptomatic dissecting intimal lesions of the common carotid arteries.

Conclusion

The most common causes of these intimal lesions were shunting and prolongation of the clamping time. Routine carotid ultrasound follow-up exams are necessary because of the potential need for a change in the antithrombotic therapy or due to a need to perform an endovascular treatment.

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Conflict of interest

The authors declare no conflict of interests.

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Authors and Affiliations

  1. Stroke and Intensive Care Unit, Department of neurology, University Hospital “Sveti Duh”, Sveti Duh 64, 10000, Zagreb, Croatia

    Hrvoje Budincevic

  2. Department of surgery, University Hospital “Sveti Duh”, Sveti Duh 64, 10000, Zagreb, Croatia

    Ante Ivkosic, Miran Martinac & Tomislav Trajbar

  3. Department of neurology, University Hospital “Sveti Duh”, Sveti Duh 64, 10000, Zagreb, Croatia

    Ivan Bielen

  4. Department of neurology, Medical and Health Science Center, University of Debrecen, Nagyerdei Körút 98, P.O. Box 48, Debrecen, Hungary

    Laszlo Csiba

Authors
  1. Hrvoje Budincevic
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  2. Ante Ivkosic
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  3. Miran Martinac
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  4. Tomislav Trajbar
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  5. Ivan Bielen
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  6. Laszlo Csiba
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Correspondence to Hrvoje Budincevic.

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Budincevic, H., Ivkosic, A., Martinac, M. et al. Asymptomatic dissecting intimal lesions of common carotid arteries after carotid endarterectomy. Surg Today 45, 1227–1232 (2015). https://doi.org/10.1007/s00595-014-1018-x

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  • DOI: https://doi.org/10.1007/s00595-014-1018-x

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