CEA and Complications

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CEA and Complications

• Minor complications which recover
• rapidly (amaurosis fugax, TIAs) are
• covered by General anesthesia.
• 2. Late neurological over-sight after surgery.
• 3. Higher rate of occlusion of the ECA and
• restenosis.
• 4. Cranial nerve palsies

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Cranial Nerve Palsies in CEA
NASCET 7.6 ECST
6.4 Sapphire
4.6 EVA-3S 7.7 CAS
0.0
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Cranial nerve palsy is significant neurological
complication for the Patient

• Loss of normal speech recurrent laryngeal nerve
• 
  paralysis of vocal cord
• 2. Loss of normal swallowing IX. and X. nerve
• 3. Tongue deviation impaired speech and
  swallowing

Can be transitory or permanent.
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Cranial nerve palsy ??
Minor stroke ? NO
Major stroke ? NO
Collateral damage
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Intervetionalists should NEVER enter into any
randomized trial if the CRANIAL NERVE
PALSIES are not counted as NEUROLOGICAL
COMPLICATIONS
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