TY - JOUR AU - Duarte-Gamas, Luis AU - Pereira-Neves, António AU - Jácome, Filipa AU - Domingues-Monteiro, Diogo AU - Rocha-Neves, João P. PY - 2022/07/01 Y2 - 2024/03/29 TI - The Effect of Contralateral Carotid Occlusion in Patients Undergoing Carotid Artery Endarterectomy JF - Angiologia e Cirurgia Vascular JA - Angiol Cir Vasc VL - 18 IS - 1 SE - Review Article DO - 10.48750/acv.419 UR - https://acvjournal.com/index.php/acv/article/view/419 SP - 30-35 AB - <div class="page" title="Page 29"><div class="section"><div class="layoutArea"><div class="column"><p><strong>INTRODUCTION</strong>: Contralateral carotid occlusion (CCO) is considered a high-risk condition for patients undergoing carotid artery endarterectomy (CEA). Patients with a CCO may be intolerant to carotid cross-clamping during CEA, thus prone to postoperative adverse neurological outcomes. Patients with CCO may also have a higher burden of atherosclerotic disease, leading to a higher rate of cardiovascular events.</p><p><strong>METHODS</strong>: A Medline search was performed in order to identify publications focused on the impact of CCO on outcomes after CEA.</p><p><strong>RESULTS</strong>: Patients with CCO present a higher incidence of intolerance to carotid cross-clamping. The rates of shunt use are higher in patients with CCO. In the postoperative period, patients with CCO show a higher rate of stroke. Evidence regarding the effect of CCO on long-term outcomes remains controversial, with most studies reporting a lack of association between CCO and adverse long-term outcomes after CEA.</p><p><strong>CONCLUSION</strong>: Patients with CCO have an increased risk of postoperative adverse outcomes. The best strategy for this group of patients should be based on a case-by-case approach.</p></div></div></div></div> ER -