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Thrombolysis and Expedited Carotid Revascularization.
Abstract With the move towards expedited carotid endarterectomy (CEA) in patients presenting with a TIA/minor stroke and for offering intravenous thrombolysis <3 hours to patients with acute ischemic stroke, it is inevitable that surgeons will be asked to consider CEA in patients who have made a good recovery from their stroke after thrombolysis and who have a 50-99% ICA stenosis. The key question is; 'how long after thrombolysis should I delay CEA to minimise the peri--operative risk (especially intracranial hemorrhage (ICH)), whilst also minimizing the risks of further embolization and stroke?' Thirteen serie...
Source: The Journal of Cardiovascular Surgery - January 9, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Naylor AR Tags: J Cardiovasc Surg (Torino) Source Type: research