Abstract

The study is to determine whether Carotid Endarterectomy reduces the risk of Stroke among patients with a recent adverse Cerebrovascular event in Ipsilateral Carotid Artery Stenosis.  METHODS: Retrospective analysis of all carotid endarterectomy performed for symptomatic carotid stenosis and patient who had admitted with recent cerebrovascular event from January 2021 to January 2022. Follow up data was collected until December 2022 from a prospectively maintained database  RESULTS Totally 40 patients were included in this study & between 55to 80 years of which 30 (75%) were male and 10 (25%) were female. Medical management group included 20 patients and surgical management group included 20 patients. Incidence of Recurrent stroke 17.5% (7/40). Incidence of Recurrent stroke in CEA with Best medical therapy was 5% (1/20) and the 30 day mortality rate was 1/20 (5%). Incidence of Recurrent stroke in Best medical therapy alone was 30% (6/20) and the 30 day mortality rate was 3/5 (15%). No of patients needed to undergo with endarterectomy for prevent the cerebrovascular event were 4 at the end of 1 year. At the 1 year follow up ,there was significant reduction in ipsilateral stroke reduction ( 5% vs 30%) in patients who underwent CEA.  CONCLUSION This study emphasis , still Carotid endarterectomy is highly beneficial to patients with recent symptomatic ,significant ipsilateral high grade stenosis > 60% of the the internal and common carotid artery.

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