Posterior Transverse Plication of Tortuous Internal Carotids in Post Stroke Carotid Endarterectomy - Neurology & Neuroscience

Carotid endarterectomy (CEA) is one of  the  most  commonly performed procedures in vascular surgery [1]. The efficacy of CEA is well validated with a significant stroke risk reduction in patients with symptomatic internal carotid artery (ICA) stenosis [2,3]. Strong evidences showed that  combined  CEA  and  best  medical therapy  are  superior  when  compared  with  medical  therapy  alone  in the prevention of stroke recurrence [2-4]. However, there are potential risks and  complications  associated  with  CEA.  Post-operative ICA stenosis secondary to arterial kinking had been documented in patients who had a tortuous ICA [5,6].

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