Section II.1.1: Introduction

• Brief description of what the procedure of carotid endarterectomy entails
• History of carotid endarterectomy – brief section on first procedure as performed by DeBakey
• Brief section on evolution of endovascular procedures
• Outline main indications for carotid endarterectomy (stenosis causing TIA, stroke) with altherosclerosis being underlying mechanism

Section II.1.2: Anatomy

• Embryological description of origins of the carotid arteries
• Anatomical description of the carotid arteries

Section II.1.3: Carotid Disease

 
• Prevalence
• Sub-section on pathophysiological mechanism underlying atherosclerosis
• International trials
• Symptomatic trials
• Asymptomatic trials

Section II.1.4: Patient selection

• Asymptomatic patients
• Symptomatic patients
• Impact of race on procedure
• Effect of anaesthesia on procedure 

Section II.1.5: Treatment of carotid artery disease by endarterectomy

• Estimation of the severity of stenosis (Ultrasound vs CT angiogram vs MR angiogram for internal carotid artery stenosis
• What percentage of stenosis warrants intervention
• Timing of endarterectomy
• Principles of surgical management of carotid endarterectomy (pre-operative necessaities)
• Technique of carotid endarterectomy (traditional vs eversion endarterectomy)
• Use of anaesthesia (local vs general)
• Common difficulties encountered by surgeons during procedure
• Complications of carotid endarterectomy
• Management of post-operative complications
• Conclusion
• Carotid endarterectomy vs angioplasty
• Future of endarterectomy

Section II.1.6: References