1. Carotid Endarterectomy
Benjamin S. Brooke, MD, PhD, FACS, FSVS
Chief, Division of Vascular Surgery
University of Utah School of Medicine

2. Agenda:
I. Inclusion/Exclusion Criteria II. Anatomy & Physiology Overview III. Live abstraction

3. Inclusion/Exclusion Criteria:
Conventional or eversion endarterectomy of the carotid bifurcation that extends into the internal carotid artery. Both primary and redo operations are included, and specified on the data form. Include any disease of the internal carotid. Concomitant procedures such as CABG or proximal carotid stenting are specified on the data form and during the same OR session.
Exclusions:
o Isolated common or external carotid endarterectomy that does not involve the internal carotid
artery, or bypass grafts for carotid disease. Such procedures are infrequently performed and
should not be grouped with carotid Endarterectomy. Operations for infected patches or other
infectious etiologies are also excluded.
o Carotid pseudoaneurysm
o Exclude CEA/CABG cases where the CABG is planned on a different day during the same
admission

4. Carotid Artery Anatomy

5. Carotid Anatomy and Physiology
Source: Wikimedia Commons

6. Q2:
Rationale for Answer

7. Conventional Endarterectomy

8. Eversion Endarterectomy

9. Case Abstraction: Summary
75 yo female developed amaurosis fugax of the right eye. Went to see her Opthamologist who referred her for carotid duplex on 11/10.
Carotid duplex demonstrated 70-99% stenosis at the right carotid artery bifurcation
Right carotid endartectomy on 11/20.

10. Case Abstraction: https://pathways-demo.m2s.com USER: VAM2019
Password: #1registry
Patient Last Name: CEA

11. Questions