Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

Carotid endarterectomy (CEA) reduces the risk of stroke in patients with recently symptomatic severe carotid stenosis and to a lesser extent in patients with recently symptomatic moderate stenosis or severe asymptomatic stenosis (1-4). However, the procedure has a relatively high rate of complications, which limit the benefit of surgery in patients at low and moderate risk of stroke on medical treatment alone. Reliable data on the risk of CEA in relation to clinical indication are necessary to target surgery more effectively, to properly inform patients, to adjust risks for case-mix, and to understand the mechanisms of operative stroke. This chapter will briefly consider what we know about the overall operative risk of CEA and how the risk is related to the clinical indication, the characteristics of the patient, and the timing of surgery. Other important issues, such as surgical technique (e.g., patching, shunting, monitoring, etc.) (5-7), surgical workload, and experience, and type of anesthetic (8) are covered in other chapters.

Original publication





Book title

Carotid Artery Stenosis: Current and Emerging Treatments

Publication Date



197 - 205