To further investigate these differences, we have reviewed our recent experience. CEA has proved to be the most effective approach to avert stokes caused by significant atherosclerotic disease of the carotid bifurcation. No patient underwent contrast angiography. Fifty-two percent of the patients were males. Patients were discharged when deemed clinically stable.
Patient results suggest that CEAs can be performed in the modern era without contrast arteriography.
Most patients can be discharged on the first postoperative day. In addition, previously acceptable rates of postoperative morbidity and mortality should perhaps be revised to meet current standards. Contrary to the previous concept that most postoperative strokes are due to embolic phenomena, hyperperfusion syndrome played an increasingly important role in this review.