Early Carotid Artery Endarterectomy after Intravenous Thrombolysis Therapy

Abstract

Carotid endarterectomy reduces the risk of stroke in patients with recently symptomatic stenosis.It is also well established that there is a reduction in benefit from CEA with time from the presenting event. Therefore, the procedure should be done early within two-weeks in neurologically stable patients (3,4). According to our results and the small data available in the medical literature, surgery of recently symptomatic severe carotid stenosis previously treated by IVT should not be delayed. There seems to be no higher haemorrhagic risk once this surgery is applied to patients with a stable neurological status and good clinical recovery after lysis. As large series of patients will be difficult to