BACKGROUND: There remains a dilemma whether or not to re-explore the carotid artery when a @entity16 occurs after carotid endarterectomy. This study reviewed the indications for, findings and clinical outcomes following re-exploration. METHODS: @entity1 who experienced transient or permanent @entity16 following carotid endarterectomy were identified from a prospectively compiled computerized database. Case notes were retrieved to determine time to onset of symptoms, use of carotid artery imaging and details about @entity1 who had surgical re-exploration, and outcomes. RESULTS: Some 780 consecutive carotid endarterectomies were performed over 16 years, with an incidence of @entity64 or death of 2.3 per cent (18 @entity1 ). Fifty-one @entity1 experienced transient or permanent @entity16 following surgery, 25 of whom underwent re-exploration. The findings included carotid @entity715 (ten @entity1 ), flap or other technical cause (three), haematoma (two) and no abnormality (ten). The neurological outcome after 30 days was similar, whether or not the carotid artery was re-explored. CONCLUSION: Carotid artery re-exploration was undertaken in approximately half of the @entity1 who developed @entity16 following carotid endarterectomy. Although the cause was identified and a secondary procedure was undertaken in 14 of 25 @entity1 , there was no improvement in clinical outcome at 30 days compared with that of @entity1 managed non-operatively.

Reoperation for XXXX following carotid endarterectomy.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological events', 'neurological complication', 'neurological complications'] @entity64 :: ('MESH:D020521', 'Disease') :: ['major stroke']
@entity16 :: (MESH:D009422,Disease) :: ['neurological complications']
