Carotid endarterectomy open. In several clinical trials, the 30-day incidence of heart attack, stroke, or death was significantly higher with stenting than with endarterectomy (9.6% vs. 3.9%). The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) funded by the National Institutes of Health (NIH) reported that the results of stents and endarterectomy were comparable. However, the European International Carotid Stenting Study (ICSS) found that stents had almost double the rate of complications. The aim of CEA is to prevent the adverse sequelae of carotid artery stenosis secondary to atherosclerotic disease, i.e. ischemic stroke. As with any prophylactic operation, careful evaluation of the relative
Carotid triangle Carotid triangle The carotid triangle (or superior carotid triangle) is a portion of the anterior triangle of the neck. It is bounded: It is (covered) by the integument, superficial fascia, Platysma and deep fascia; Its floor is formed by parts of the -1 Thyrohyoid membrane, -2Hyoglossus, and the -3Constrictores pharyngis medius and inferior. The external and internal carotids lie side by side, the external being the more anterior of the two. The following branches of the external carotid are also met with in this space: The veins met with are: ...all of which end in the internal jugular vein Superficial