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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Vascular Surgery

Advisor

Larry Herman

Abstract

Carotid artery stenosis can present a risk for transient ischemic attack and stroke. Treatment of carotid artery stenosis with carotid endarterectomy is considered the gold standard but may not be the best treatment option in patients at high-risk for surgical intervention. Transfemoral carotid artery stenting was introduced as a minimally invasive treatment option but has demonstrated poor outcomes compared to carotid endarterectomy. The introduction of transcarotid artery revascularization fills this role by providing outcomes superior to transfemoral carotid artery stenting and consistent with carotid endarterectomy supporting its application for treatment of carotid artery stenosis in patients at high-risk for surgical intervention.

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