Branch of glossopharyngeal nerve to carotid sinus Branch of glossopharyngeal nerve to carotid sinus The branch of glossopharyngeal nerve to the carotid sinus (Hering's nerve) is a small nerve in the neck, that innervates the carotid sinus and the carotid body. It is a branch of the glossopharyngeal nerve that runs downwards, anterior to the internal carotid artery. It communicates with the vagus nerve and sympathetic trunk and then divides in the angle of the bifurcation of the common carotid artery to innervate the carotid body and carotid sinus. It carries impulses from the baroreceptors in the carotid sinus to the vasomotor center in the brainstem (to
Carotid endarterectomy (CTA) or invasive angiography. Revascularization of symptomatic stenoses has a much higher therapeutic index compared to asymptomatic lesions. The North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the European Carotid Surgery Trial (ECST) are both large randomized class 1 studies which have helped define current indications for carotid endarterectomy in symptomatic patients. The NASCET found that for every six patients treated, one major stroke would be prevented at two years (i.e. a number needed to treat (NNT) of six) for symptomatic patients with a 70–99% stenosis, where percent stenosis was defined as: Symptomatic patients with less severe carotid occlusion (50–69%)